Steven Thomas Jellen DC

NPI 1780786475 - Chiropractor - 111N00000X

NPI Details
NPI 1780786475
Gender Male
Enumeration Date 09/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
64 DIVISION AVE
SUITE 102
LEVITTOWN NY, 11756-2999, US
Phone (516) 579-5602
Fax (516) 579-5602
Business Location
64 DIVISION AVE
SUITE 102
LEVITTOWN NY, 11756-2999, US
Phone (516) 579-5602
Fax (516) 579-5602
Toxanomy
Taxonomy Code 111N00000X
License State New York
License Number X008203
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According to our database, Steven Thomas Jellen DC NPI is 1780786475, taxonomy code is 111N00000X and license number is X008203, license state is located at New York. Steven Thomas Jellen DC physically located at 64 Division Ave, Levittown NY, 11756-2999. NPI Number Steven Thomas Jellen DC has the Individual type.

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1780786475 NPI number is provided on an as is basis without warranty of any kind. 1780786475 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Thomas Jellen DC are for informational purposes only.