Jerome A. San Jose

NPI 1366620569 - Physical Therapist - 225100000X

NPI Details
NPI 1366620569
Gender Male
Enumeration Date 02/11/2008
Last Updated 11/26/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
4150 78TH ST
APT. 514
ELMHURST NY, 11373-1950, US
Phone (347) 605-8285
Fax
Business Location
4150 78TH ST
APT. 514
ELMHURST NY, 11373-1950, US
Phone (347) 605-8285
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 027253-1
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According to our database, Mr. Jerome A. San Jose NPI is 1366620569, taxonomy code is 225100000X and license number is 027253-1, license state is located at New York. Jerome A. San Jose physically located at 4150 78th St, Elmhurst NY, 11373-1950. NPI Number Jerome A. San Jose has the Individual type.

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1366620569 NPI number is provided on an as is basis without warranty of any kind. 1366620569 is maintained by the National Plan & Provider Enumeration System. The contents of Jerome A. San Jose are for informational purposes only.