Organization
JADELEAF MASSAGE THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISA EVELYN (MASSAGE THERAPIST)
(917) 484-3496
Entity
Organization
Contact information
Practice address
280 MADISON AVE, STE. 807, NEW YORK, NY 10016-0801
(917) 484-3486
Mailing address
280 MADISON AVE, STE. 807, NEW YORK, NY 10016-0801
(917) 484-3486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27027213
NY
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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