MEDICARE: JENNIFER GERST DEBEER CHARNO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2907	NY

General Provider Information

NPI Number	:	1528598968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GERST DEBEER CHARNO

Provider Business Mailing Address
First Line	:	34 FOREST AVE
Second Line	:
City	:	GLEN COVE
State	:	NY
Zip	:	11542-2128
Country	:	US
Telephone Number	:	516-647-0545
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 FOREST AVE
Second Line	:
City	:	GLEN COVE
State	:	NY
Zip	:	11542-2128
Country	:	US
Telephone Number	:	516-647-0545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	07/21/2022

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