Individual
JONATHAN M PIETRUNTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
70 ASTER CT, BROOKLYN, NY 11229-6557
(757) 630-5765
Mailing address
70 ASTER CT, BROOKLYN, NY 11229-6557
(757) 630-5765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030600
NY
Other
Enumeration date
04/05/2019
Last updated
01/30/2020
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