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Jeanine Nicole Donohue
Massage Therapist in Coram, New York
NPI 1912617051

Jeanine Nicole Donohue is a Massage Therapist based in Coram, NY. Jeanine Nicole Donohue practices in Coram, NY. The NPI Number for Jeanine Nicole Donohue is 1912617051 and holds a License No. 032470 (New York).

The current practice location address for Jeanine Nicole Donohue is 17 Winside Ln, Coram, NY and can be reached out via phone at 631-793-0480.

Location: 17 Winside Ln, Coram, NY, 11727-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912617051
Provider Name
Jeanine Nicole Donohue
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Winside Ln, Coram, NY, 11727-1134
Phone Number
631-793-0480
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102760417 05 NY
institution
Provider Business Practice Location Address Details
Address
17 Winside Ln
City
Coram
State
New York
Zip
11727-1134
Phone Number
631-793-0480
Fax Number
person
Provider Business Mailing Address Details
Address
17 Winside Ln
City
Coram
State
New York
Zip
11727-1134
Phone Number
631-793-0480
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
032470 (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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