| Jonathan Carter, | |
|
54 Wave Crest Dr, Islip, NY 11751-4016 | |
| (516) 240-5127 | |
| Not Available |
| Full Name | Jonathan Carter |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 54 Wave Crest Dr, Islip, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154725547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 026655 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Carter, 54 Wave Crest Dr, Islip, NY 11751-4016 Ph: (516) 240-5127 | Jonathan Carter, 54 Wave Crest Dr, Islip, NY 11751-4016 Ph: (516) 240-5127 |
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