Individual
JEAN NELSON TOUSSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
194 LOCUST DR, BAY SHORE, NY 11706-2123
(917) 913-7442
Mailing address
194 LOCUST DR, BAY SHORE, NY 11706-2123
(917) 913-7442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028022-01
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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