JAY SUHERWANTO

Massage Therapist

Active Individual
NPI: 1376439844

Practice Address

225 FISHER AVE
White Plains, NY 10606

Phone: (415) 728-8505

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 019432 (NY)

Frequently Asked Questions

NPI 1376439844 is the National Provider Identifier for JAY SUHERWANTO, a Massage Therapist provider located in White Plains, NY. This NPI was enumerated on June 13, 2025.
JAY SUHERWANTO practices at 225 FISHER AVE, White Plains, NY 10606.

Quick Facts

NPI
1376439844
Type
Individual
Enumerated
Jun 13, 2025
Last Updated
Jun 13, 2025

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