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Contact Information

JENNIFER A TISEO, MA, PT
1428 5TH AVE
BAY SHORE, NY11706-4147
 Phone: 631-665-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER A TISEO · (Female)

NPI Number 1013058965
Status Active
Credentials MA, PT
Entity Individual
Enumeration date 02/12/2007
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 0155221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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