Individual
JESA KIANA CUYUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 ROUTE 112, PORT JEFFERSON STATION, NY 11776-6000
(805) 814-5259
Mailing address
1041 ROUTE 112, PORT JEFFERSON STATION, NY 11776-6000
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
050333
NY
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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