Individual
MR. JASON JAY KOLBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
220 FORT SALONGA RD, NORTHPORT, NY 11768-3900
(516) 669-1243
(631) 754-2909
Mailing address
220 FORT SALONGA RD, NORTHPORT, NY 11768-3900
(516) 669-1243
(631) 754-2909
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002576
NY
Other
Enumeration date
01/25/2010
Last updated
12/01/2015
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