Botero, Maurice

Botero, Maurice is an sole proprietor health care provider with primary practice located at 4012 80Th St , Elmhurst NY 11373-1234. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Botero, Maurice can be contacted via phone (718) 426-9595.

Contact Information

Primary practice address
4012 80Th St Elmhurst NY 11373-1234
Phone: (718) 426-9595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0208591 New York

Profile Details

NPI number 1457549503
LBN Legal business name Botero, Maurice
Credentials LICENSE MASSAGE THER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers