Individual
JEFFERY HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10000
(917) 261-1796
Mailing address
1775 GRAND CONCOURSE, BRONX, NY 10000
(917) 261-1796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13134
NY
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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