Individual
DR. JILL CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MHS, DPT
Contact information
Practice address
73 WOODVALE AVE, STATEN ISLAND, NY 10309-3520
(718) 356-7842
Mailing address
73 WOODVALE AVE, STATEN ISLAND, NY 10309-3520
(718) 356-7842
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
016064-1
NY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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