| Jonathan Michael Wilson, | |
|
1386 Route 25a, East Setauket, NY 11733-2842 | |
| (631) 751-2375 | |
| Not Available |
| Full Name | Jonathan Michael Wilson |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1386 Route 25a, East Setauket, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144836610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 027140-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Michael Wilson, 1386 Route 25a, East Setauket, NY 11733-2842 Ph: (631) 751-2374 | Jonathan Michael Wilson, 1386 Route 25a, East Setauket, NY 11733-2842 Ph: (631) 751-2375 |
Michele Christine Deprima, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 262c Main St, East Setauket, NY 11733 Phone: 631-403-6013 | |
Milagro Morales, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1386 Route 25a, East Setauket, NY 11733 Phone: 631-751-2374 | |
Joshua David Rajotte, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1386 Route 25a, East Setauket, NY 11733 Phone: 631-751-2374 | |
Mrs. Jacqueline Ann Grempel, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1386 Route 25a, East Setauket, NY 11733 Phone: 631-751-2374 | |
Alyssa Rose Genduso, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Technology Dr, East Setauket, NY 11733 Phone: 631-682-6491 | |
Danielle Veronika Hagen, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Nesconset Hwy Ste 104, East Setauket, NY 11733 Phone: 516-734-6312 | |
Tracy Ann Julca, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 S Jersey Ave, East Setauket, NY 11733 Phone: 516-605-4868 |