Individual
JEREMY KAPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 COMMACK RD, COMMACK, NY 11725-3445
(631) 462-4263
Mailing address
55 DEER LAKE DR, NORTH BABYLON, NY 11703-3400
(631) 949-1575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033403
NY
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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