Organization
EMERGE YOGA & WELLNESS
Active
Other names
Emerge Integrative Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C NELSON LAC, LMT, RYT (OWNER, CFO)
(516) 781-1078
Entity
Organization
Contact information
Practice address
623 BROADWAY, MASSAPEQUA, NY 11758-5027
(516) 781-1078
Mailing address
623 BROADWAY, MASSAPEQUA, NY 11758-5027
(516) 781-1078
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
021089
NY
225700000X
Massage Therapist
203931
NY
Other
Enumeration date
03/22/2016
Last updated
08/18/2021
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