Individual
MR. JEAN PATRICK ELIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
672 WELLWOOD AVE UNIT 2, LINDENHURST, NY 11757-1677
(561) 225-2623
Mailing address
25 ROCKWOOD AVE, MASSAPEQUA, NY 11758-4745
(516) 587-3337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028512-1
NY
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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