Jessica Carbonara, LMT
Massage Therapist in Smithtown, NY. Individual provider (NPI-1).
NPI number1144164609
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1144164609
- Entity type
- Individual (NPI-1)
- Name
- Jessica Carbonara
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2026
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 012311 | NY | Yes |
Practice location
61 Route 111Smithtown, NY 11787-3712
Phone 516-885-4645
Mailing address
42 Baylor DrSmithtown, NY 11787-2002
Phone 516-885-4645
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