Individual
STANLEY JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3304 WATERBURY AVE, BRONX, NY 10465-1554
(718) 931-3000
Mailing address
7 SHERWOOD AVE APT 11, OSSINING, NY 10562-3549
(917) 288-7007
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0066711
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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