Individual
RYAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
191 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4899
(631) 775-0971
(631) 475-0975
Mailing address
191 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4899
(631) 775-0971
(631) 475-0975
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043942-1
NY
Other
Enumeration date
11/20/2018
Last updated
11/27/2019
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