Individual
JEREMY DAVID BONGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
608 WASHINGTON ST, HOBOKEN, NJ 07030-5170
(201) 484-0134
(201) 484-7123
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01948700
NJ
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/21/2020
Last updated
01/28/2022
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