Individual
JASON R BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 LOWER MAIN ST, CALLICOON, NY 12723
(845) 887-9004
Mailing address
PO BOX 66, FREMONT CENTER, NY 12736-0066
(845) 701-1218
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006255
NY
225700000X
Massage Therapist
030820
NY
Other
Enumeration date
01/12/2011
Last updated
05/30/2018
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