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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