Individual
MR. JARED THOMAS STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(914) 741-4564
Mailing address
96 WASHINGTON AVE N, WHITE PLAINS, NY 10603
(914) 882-9068
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
662008
NY
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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