Individual
DR. STACY MICHELLE JAFFEE GROPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, PHD
Contact information
Practice address
397 FRANKEL BLVD, MERRICK, NY 11566-5035
(516) 419-1347
Mailing address
397 FRANKEL BLVD, MERRICK, NY 11566-5035
(516) 419-1347
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
008975
NY
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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