Organization
JP VERDISCO EXERCISE HEALTH AND FITNESS INC.
Active
Organization
JP VERDISCO EXERCISE HEALTH AND FITNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PAUL VERDISCO BA/MA (CLINICAL EXERCISE PHYSIOLOGIST)
(631) 880-3810
Entity
Organization
Contact information
Practice address
1305 MIDDLE COUNTRY RD, SELDEN, NY 11784-2554
(631) 880-3810
Mailing address
1305 MIDDLE COUNTRY RD, SELDEN, NY 11784-2554
(631) 880-3810
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0147861
NY
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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