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Individual

JEFFREY DRUKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1281 E MAIN ST, STAMFORD, CT 06902-3544
(203) 210-2840
(203) 210-2841
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 457-1195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022084
NY
225100000X
Physical Therapist
12021
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04913475
NY
05
1942295407
CT
Enumeration date
09/12/2005
Last updated
12/12/2018
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