Individual
JEROME DE ASIS QUIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BATTERY AVE, BROOKLYN, NY 11228-3502
(929) 326-0909
Mailing address
22 BATTERY AVE, BROOKLYN, NY 11228-3502
(929) 326-0909
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
039568
NY
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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