Individual
JESSICA ALLYN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 FULTON ST, FARMINGDALE, NY 11735-3666
(516) 520-1330
Mailing address
376 FULTON ST, FARMINGDALE, NY 11735-3666
(516) 520-1330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031197
NY
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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