Individual
MR. JOHN ALEXANDER HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 BICYCLE PATH, PORT JEFFERSON STATION, NY 11776-3409
(631) 721-3993
Mailing address
464 BICYCLE PATH, PORT JEFFERSON STATION, NY 11776-3409
(631) 627-9666
(631) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/17/2012
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