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Individual
JEFFREY PAUL HUMPHREY
Active
Individual
JEFFREY PAUL HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11530
SC
282N00000X
General Acute Care Hospital
1962422733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332729
—
NY
Enumeration date
03/05/2010
Last updated
12/29/2022
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