Individual provider · Type 1 NPI

Jessica Buonomo, LMT

Massage Therapist · Port Jefferson Station, NY

NPI number 1730809583 Active

Practice location

17 Jeanne Ave
Port Jefferson Station, NY 11776-1909

Call (516) 232-7798 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X029944 (NY)

Massage Therapist: 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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About NPI 1730809583

Jessica Buonomo, LMT's National Provider Identifier is 1730809583, issued on Aug 31, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 31, 2022.