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Individual

JASON BAMBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9511 SHORE RD SUITE 107, BROOKLYN, NY 11209-7510
(718) 873-6513
Mailing address
9511 SHORE RD SUITE 107, BROOKLYN, NY 11209-7510
(718) 873-6513

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006500
NY

Other

Enumeration date
08/19/2011
Last updated
08/19/2011
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