Individual
ALYSSA ROSE GENDUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4000
(631) 682-6491
Mailing address
3 MONTE CT, RONKONKOMA, NY 11779-8406
(631) 682-6491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033258-01
NY
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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