Individual
JOHN VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
99 E MAIN ST STE 1, EAST ISLIP, NY 11730-2538
(631) 786-6406
Mailing address
106 BERKSHIRE DR, FARMINGVILLE, NY 11738-2035
(631) 786-6406
(631) 249-1793
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007258
NY
225700000X
Massage Therapist
024075
NY
Other
Enumeration date
11/09/2015
Last updated
06/21/2024
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