Individual
MR. CHRISTOPHER J JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
203 UNION AVE, HOLBROOK, NY 11741-1704
(631) 585-5858
Mailing address
203 UNION AVE, HOLBROOK, NY 11741-1704
(631) 585-5858
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012158
NY
Other
Enumeration date
01/19/2008
Last updated
01/19/2008
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