Individual
JAMES ERIC OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 LINCOLN AVE UNIT 9, HOLBROOK, NY 11741-2257
(256) 518-4631
Mailing address
241 PECONIC ST, RONKONKOMA, NY 11779-6803
(631) 512-1738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033379
NY
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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