Individual
CHARLES EDWARD JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
778 FOREST AVE, 4TH FLOOR, BRONX, NY 10456-7803
(718) 665-5617
(718) 665-6372
Mailing address
778 FOREST AVE, 4TH FLOOR, BRONX, NY 10456-7803
(718) 665-5617
(718) 665-6372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016448-1
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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