Individual
JESSICA FAY LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 MONTAUK HWY, OAKDALE, NY 11769-1356
(516) 510-0390
Mailing address
352 GARDEN ST, WEST ISLIP, NY 11795-2422
(631) 655-2508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020276-01
NY
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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