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1013058965
JENNIFER ANNE TISEO
BAY SHORE, NY
NPI
1013058965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 0155221)
Enumeration Date
2007-02-12
Last Update Date
2024-09-13
Business Address
MRS. JENNIFER ANNE TISEO MA, PT
1428 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-665-1900
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Mailing Address
MRS. JENNIFER ANNE TISEO MA, PT
3 SUMMIT DR
SMITHTOWN, NY 11787-5151
Phone number: 631-724-4643
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