Individual
JILL R LEWIS CORTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
559 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1530
(516) 593-8333
Mailing address
38 VINCENT PL, LYNBROOK, NY 11563-3755
(917) 566-9048
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011444
NY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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