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Jessica Maria Fasano, LMT,CLT,MLD-C
Massage Therapist in Syosset, New York
NPI 1649872805

Jessica Maria Fasano is a Massage Therapist based in Syosset, NY. Jessica Maria Fasano practices in Syosset, NY and has the professional credentials of LMT,CLT,MLD-C. The NPI Number for Jessica Maria Fasano is 1649872805 and holds a License No. 030477 (New York).

The current practice location address for Jessica Maria Fasano is 28 Lilac Dr, Syosset, NY and can be reached out via phone at 516-250-4529.

Location: 28 Lilac Dr, Syosset, NY, 11791-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649872805
Provider Name
Jessica Maria Fasano
Credential
LMT,CLT,MLD-C
Provider Entity Type
Individual
Gender
Female
Address
28 Lilac Dr, Syosset, NY, 11791-2815
Phone Number
516-250-4529
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28 Lilac Dr
City
Syosset
State
New York
Zip
11791-2815
Phone Number
516-250-4529
Fax Number
person
Provider Business Mailing Address Details
Address
28 Lilac Dr
City
Syosset
State
New York
Zip
11791-2815
Phone Number
516-250-4529
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
030477 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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