Organization
IRISE WELLNESS COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNA IRIS DEJESUS LMT (OWNER)
(516) 697-4770
Entity
Organization
Contact information
Practice address
2880B MERRICK RD, BELLMORE, NY 11710-5726
(516) 697-4770
Mailing address
105 BEDELL ST, FREEPORT, NY 11520-4542
(516) 697-4770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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