Individual
JOSEPH RICHARD JOURDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 NEW YORK AVE, SUITE 106, HUNTINGTON, NY 11743-4240
(631) 351-7676
Mailing address
755 NEW YORK AVE, SUITE 106, HUNTINGTON, NY 11743-4240
(631) 351-7676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021580
NY
Other
Enumeration date
08/06/2009
Last updated
03/11/2010
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