Individual
JONALYN ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
587 JAYNE BLVD, PORT JEFFERSON STATION, NY 11776-2946
(619) 522-4007
Mailing address
587 JAYNE BLVD, PORT JEFFERSON STATION, NY 11776-2946
(619) 522-4007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011154
NY
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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