Individual
JACQUELYN ADDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
340 VETERANS MEMORIAL HWY, COMMACK, NY 11725-4300
(631) 776-3019
Mailing address
40 QUEBEC DR, HUNTINGTON STATION, NY 11746-3870
(631) 896-3247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030373-01
NY
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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