Individual
MRS. MARA JENNIFER BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC. LMT
Contact information
Practice address
3728 PARK AVE, WANTAGH, NY 11793-3707
(516) 697-7109
Mailing address
3430 SUNRISE HWY, WANTAGH, NY 11793-4069
(516) 697-7109
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 005235
NY
225700000X
Massage Therapist
27 014196
NY
Other
Enumeration date
01/11/2014
Last updated
11/07/2019
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