Individual
MS. JENNIFER J CHARVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
930 N BROADWAY, MASSAPEQUA, NY 11758-2394
(516) 778-7228
Mailing address
930 N BROADWAY, MASSAPEQUA, NY 11758-2394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005619-1
NY
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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