Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILIA GERASSIMOV, LMT
Active Sole ProprietorILIA GERASSIMOV, LMT is a Massage Therapist healthcare provider located in LITTLE FERRY, New Jersey. NPI 1285211961 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LITTLE FERRY, NJ
Registration Details
- NPI Number
- 1285211961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2021 (5.4274413262714 yrs)
- Last Updated
- Mar 27, 2021
- License
-
024648 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 CENTER STLITTLE FERRY, NJ, 076431803Browse NJ providers · Browse ZIP 07643
- Phone
- 7185064515
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LITTLE FERRY, NJ
| Name | Credential | NPI |
|---|---|---|
| KESJANA DIVJAKA | LMT, CDT, MLD-C | 1578277935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.