Individual
MR. JEFFERY JASON VIRGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC, OPA-C, LSA
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5919
(718) 579-4620
Mailing address
703 MALLARD WAY, PEEKSKILL, NY 10566-4178
(914) 737-5608
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
—
—
246ZX2200X
Orthopedic Assistant
Primary
O000066-
NY
Other
Enumeration date
02/24/2006
Last updated
02/02/2023
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