Individual
JASON MATTHEW DEGENARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
670 6TH AVE, BROOKLYN, NY 11215-6800
(718) 369-2560
Mailing address
1431 68TH ST, BROOKLYN, NY 11219-6223
(718) 619-0395
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
036626
NY
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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