Organization
JASON INTERMESOLI DPT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON INTERMESOLI DPT (OWNER)
(631) 901-5885
Entity
Organization
Contact information
Practice address
604 LINCOLN AVE, SAYVILLE, NY 11782-1422
(631) 901-5885
Mailing address
604 LINCOLN AVE, SAYVILLE, NY 11782-1422
(631) 901-5885
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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