The Juniper House, Incorporated

NPI #1023605466 in Islip, New York

Provider Information

NPI Number: 1023605466
Entity Type: Organization
Organization Name: The Juniper House, Incorporated
Primary Specialty: Massage Therapist
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 34 OCEAN AVE
City: Islip
State: New York
ZIP Code: 11751-3804
Phone: (631) 871-7938

Authorized Official

Name: ALISSA DANDRILLI LATERZA
Title: OWNER
Phone: (631) 871-7938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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