Jejerry Staller in New City - Physical Therapist
Jejerry Staller - NPI 1255473963
Jejerry Staller is a Physical Therapist in New City, New York. Jejerry Staller practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jejerry Staller is 1255473963. The last update date is 2007-07-08.
Jejerry Staller's current location address is 47 Heritage Dr Apt E, New City, New York. You can contact this provider via phone number 8456380655. The mailing address for Jejerry Staller is 47 Heritage Dr Apt E, New City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jejerry Staller |
|---|---|
| Address | 47 Heritage Dr Apt E, New City, New York |
| Phone Number | 8456380655 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255473963 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47 Heritage Dr Apt E |
|---|---|
| City | New City |
| State | New York (NY) |
| Post Code | 109565345 |
| Phone Number | 8456380655 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2976 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22 | NY | 2976 |
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What is the unique 10-digit identification code issued to Jejerry Staller by the Centers for Medicare & Medicaid Services?
The Jejerry Staller has been assigned the NPI (National Provider Identifier) 1255473963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jejerry Staller located?
The Jejerry Staller is located at 47 Heritage Dr Apt E, New City, NY 109565345.
What is Jejerry Staller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jejerry Staller is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
When was the Jejerry Staller's 1255473963 issued?
The Jejerry Staller's 1255473963 was issued on 2007-02-12.
When was the Jejerry Staller's information last updated?
The Jejerry Staller's information was last updated on 2007-07-08.
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