Individual
EARVIN YGNACIO LUCIO JEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 W END AVE APT 1M, NEW YORK, NY 10023-5715
(121) 260-0478
Mailing address
231 W 149TH ST, NEW YORK, NY 10039-2704
(646) 818-5479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015379-01
NY
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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