Individual
MR. JEREMY J EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512
(917) 449-5646
Mailing address
667 STONELEIGH AVE STE 202, CARMEL, NY 10512-2455
(845) 230-6105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021868
NY
Other
Enumeration date
03/30/2007
Last updated
09/20/2019
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