Individual
JEFFREY A PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
156 PIKE ST, PORT JERVIS, NY 12771-1808
(845) 856-7700
(845) 858-9284
Mailing address
156 PIKE ST, PORT JERVIS, NY 12771-1808
(845) 856-7700
(845) 858-9284
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002727-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01537044
—
NY
Enumeration date
07/19/2005
Last updated
08/04/2010
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