JEROME ALDRIN ENRIQUE TAN

NEW YORK, NY
NPI1487988804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  016103-1)
Enumeration Date2009-10-01
Last Update Date2009-10-01
Business Address
Mr. JEROME ALDRIN ENRIQUE TAN
4915 BROADWAY APT 4P
NEW YORK, NY 10034-3162
Phone number: 917-669-4304
Mailing Address
Mr. JEROME ALDRIN ENRIQUE TAN
1 STOKES RD APT 2B
YONKERS, NY 10710-5941
Phone number: 914-202-7708