Individual
DR. JARED JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
910 W END AVE, 1C, NEW YORK, NY 10025-3533
(212) 662-9200
(212) 932-0964
Mailing address
6741 BURNS ST, APT L7, FOREST HILLS, NY 11375-3542
(516) 633-5662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019401-1
NY
Other
Enumeration date
12/19/2011
Last updated
01/03/2012
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