Individual
JENNIFER MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 CEDAR AVE, NYACK, NY 10960-1311
(917) 749-6034
Mailing address
403 CEDAR AVE, NYACK, NY 10960-1311
(917) 749-6034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016732
NY
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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