Individual
SOPHIA PARISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2628
(631) 740-4306
Mailing address
35 ONTARIO ST, PORT JEFFERSON STATION, NY 11776-4345
(631) 740-4306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032054
NY
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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