Individual
JODIE TASSELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 S BROADWAY, NYACK, NY 10960-4434
(914) 261-1495
Mailing address
97 S BROADWAY, NYACK, NY 10960-4434
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004419
NY
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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