Individual
JAMAAL HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
992 GATES AVE, BROOKLYN, NY 11221-3602
(718) 483-9553
Mailing address
10580 FLATLANDS 10TH ST, BROOKLYN, NY 11236-4618
(347) 962-7638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009771
NY
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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