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1023644853
JAKE MAGENHEIM
STATEN ISLAND, NY
NPI
1023644853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045651)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
JAKE MAGENHEIM DPT
1944 RICHMOND AVE
STATEN ISLAND, NY 10314-3914
Phone number: 718-370-7500
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Mailing Address
JAKE MAGENHEIM DPT
1944 RICHMOND AVE
STATEN ISLAND, NY 10314-3914
Phone number: 718-370-7500
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