Individual
JESSICA KALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1 IRELAND PL FL 2, AMITYVILLE, NY 11701-2955
(516) 654-4655
Mailing address
77 BRANCH AVE, FREEPORT, NY 11520-5323
(516) 312-2710
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006248
NY
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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