Individual
JAMIE LYNN YASGUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAT, BC-DMT
Contact information
Practice address
526 W 26TH ST RM 309, NEW YORK, NY 10001-5518
(914) 588-8638
Mailing address
170 W 89TH ST APT 4D, NEW YORK, NY 10024-1955
(914) 588-8638
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002268
NY
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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