Individual
JEFREY CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 HIGHLAND AVE, PARAMUS, NJ 07652-3703
(347) 583-7881
Mailing address
736 HIGHLAND AVE, PARAMUS, NJ 07652-3703
(347) 583-7881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007512
NY
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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