NPI 1396195178

Joseph David Elder, MALMT

Practitioner Mechanotherapist New York, NY

Practice location

Address: 457 W 57th St #609, New York, NY 10019-1701
Phone: (917) 843-8609

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 003329 (NY)

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Registry record

NPI: 1396195178
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2016
Record last updated: 13 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.