Individual
JEREMY THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 ISELIN AVE, BRONX, NY 10471-2915
(718) 549-6700
Mailing address
63 WALL ST, APT 1011, NEW YORK, NY 10005-3001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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