Individual
MR. JAY GREENSPAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
466 OLD HOOK RD, SUITE 16, EMERSON, NJ 07630-1396
(201) 634-1811
(201) 634-9170
Mailing address
PO BOX 631, WESTWOOD, NJ 07675-0631
(201) 634-1811
(201) 634-9170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
QA06902
NJ
Other
Enumeration date
04/14/2006
Last updated
07/09/2007
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