Individual
JENNIFER MONGELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
328 BROADWAY, BETHPAGE, NY 11714-3007
(516) 822-5433
Mailing address
51 DANTE PL, AMITYVILLE, NY 11701-4107
(631) 418-4588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27021377
NY
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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