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Individual
JESSE JUDE PRZYBYLA
Active
Individual
JESSE JUDE PRZYBYLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025375
NY
225100000X
Physical Therapist
PT018085
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02517004
—
NY
01
—
P00133832
MEDICARE RAILROAD
NY
Enumeration date
08/30/2006
Last updated
07/08/2007
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