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Individual
MR. JEFFREY JOSEPH FOSS
Active
Individual
MR. JEFFREY JOSEPH FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009664-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492286002
BLUE SHIELD NENY
NY
01
—
10000675
CDPHP
NY
01
—
43151
MVP HEALTH PLAN
NY
01
—
QN1851
EMPIRE BC/BS
NY
Enumeration date
08/21/2006
Last updated
09/13/2011
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