Raymond J Jensen DO

NPI 1174613129 - Internal Medicine - 207R00000X

NPI Details
NPI 1174613129
Gender Male
Enumeration Date 10/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
49 IRELAND PLACE
AMITYVILLE NY, 11701, US
Phone (631) 264-0924
Fax (631) 264-3503
Business Location
49 IRELAND PLACE
AMITYVILLE NY, 11701, US
Phone (631) 264-0924
Fax (631) 264-3503
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 132857
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According to our database, Raymond J Jensen DO NPI is 1174613129, taxonomy code is 207R00000X and license number is 132857, license state is located at New York. Raymond J Jensen DO physically located at 49 Ireland Place, Amityville NY, 11701. NPI Number Raymond J Jensen DO has the Individual type.

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1174613129 NPI number is provided on an as is basis without warranty of any kind. 1174613129 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond J Jensen DO are for informational purposes only.