Individual
JAIME IAMUNNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, RN, BSN
Contact information
Practice address
523 TOWNLINE RD STE 9, HAUPPAUGE, NY 11788-2827
(631) 486-6655
Mailing address
25 CLIFFORD BLVD, HAUPPAUGE, NY 11788-2504
(516) 523-6014
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
803924
NY
225700000X
Massage Therapist
Primary
023243
NY
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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