Individual
JENNY CARINA MIRITELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1069 OLD COUNTRY RD, PLAINVIEW, NY 11803-4919
(516) 932-5569
Mailing address
27 HARRIET PL, NORTH MASSAPEQUA, NY 11758-1926
(516) 244-5222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020352
NY
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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