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1023849015
ALLEN JACOB
STATEN ISLAND, NY
NPI
1023849015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 052799)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
ALLEN JACOB PT,DPT
1441 SOUTH AVE
STATEN ISLAND, NY 10314-3779
Phone number: 718-303-9777
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Mailing Address
ALLEN JACOB PT,DPT
195 MARTIN AVE BLDG SUITE
STATEN ISLAND, NY 10314-4325
Phone number: 917-525-6773
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