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Individual

JETHRO ALBANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRPA-P

Contact information

Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(727) 457-6773
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(727) 457-6773

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-5274
NY

Other

Enumeration date
08/30/2021
Last updated
08/30/2021
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