Individual
JESSICA BUONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17 JEANNE AVE, PORT JEFFERSON STATION, NY 11776-1909
(516) 232-7798
Mailing address
17 JEANNE AVE, PORT JEFFERSON STATION, NY 11776-1909
(516) 232-7798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029944
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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