Organization
THE JUNIPER HOUSE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA DANDRILLI LATERZA (OWNER)
(631) 871-7938
Entity
Organization
Contact information
Practice address
34 OCEAN AVE, ISLIP, NY 11751-3804
(631) 871-7938
Mailing address
34 OCEAN AVE, ISLIP, NY 11751-3804
(631) 871-7938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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