Pedersen, Jessica Lyn

Pedersen, Jessica Lyn is an sole proprietor health care provider with primary practice located at 152 N Wellwood Ave Suite 5, Lindenhurst NY 11757-4046. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Pedersen, Jessica Lyn can be contacted via phone (631) 835-3600.

Contact Information

Primary practice address
152 N Wellwood Ave Suite 5 Lindenhurst NY 11757-4046
Phone: (631) 835-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 017797 New York

Profile Details

NPI number 1457660011
LBN Legal business name Pedersen, Jessica Lyn
Credentials B.S., L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2010
Last updated Sep 30th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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