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Individual

ALLEN JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT,DPT

Contact information

Practice address
1441 SOUTH AVE, STATEN ISLAND, NY 10314-3779
(718) 303-9777
(718) 303-9778
Mailing address
195 MARTIN AVE BLDG SUITE, STATEN ISLAND, NY 10314-4325
(917) 525-6773

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052799
NY

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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