Provider Demographics
NPI:1043825508
Name:HOWARD, ROSS (LMT)
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W 43RD ST APT 102
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-3930
Mailing Address - Country:US
Mailing Address - Phone:646-339-4326
Mailing Address - Fax:
Practice Address - Street 1:255 W 43RD ST APT 102
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-3930
Practice Address - Country:US
Practice Address - Phone:646-339-4326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist