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Jessica Buonomo, LMT
Massage Therapist in Port Jefferson Station, New York
NPI 1730809583

Jessica Buonomo is a Massage Therapist based in Port Jefferson Station, NY. Jessica Buonomo practices in Port Jefferson Station, NY and has the professional credentials of LMT. The NPI Number for Jessica Buonomo is 1730809583 and holds a License No. 029944 (New York).

The current practice location address for Jessica Buonomo is 17 Jeanne Ave, Port Jefferson Station, NY and can be reached out via phone at 516-232-7798.

Location: 17 Jeanne Ave, Port Jefferson Station, NY, 11776-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730809583
Provider Name
Jessica Buonomo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
17 Jeanne Ave, Port Jefferson Station, NY, 11776-1909
Phone Number
516-232-7798
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17 Jeanne Ave
City
Port Jefferson Station
State
New York
Zip
11776-1909
Phone Number
516-232-7798
Fax Number
person
Provider Business Mailing Address Details
Address
17 Jeanne Ave
City
Port Jefferson Station
State
New York
Zip
11776-1909
Phone Number
516-232-7798
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
029944 (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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