Individual
JENNIFER COMMERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1726 WESTERN AVE, ALBANY, NY 12203-4413
(518) 621-7984
Mailing address
26 SUSSEX WAY, SCHENECTADY, NY 12309-2918
(518) 376-6173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018570-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018570-1
NYS LICENSE
NY
Enumeration date
11/30/2010
Last updated
05/02/2013
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