Individual
MS. SHIRLEY M JERKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 JERICHO TPKE, NEW HYDE PARK, NY 11040-4515
(502) 314-6584
(516) 216-1905
Mailing address
15 JERICHO TPKE, NEW HYDE PARK, NY 11040-4515
(502) 314-6584
(516) 216-1905
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
031287
NY
Other
Enumeration date
06/28/2006
Last updated
11/08/2012
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