Staller, Jejerry
Staller, Jejerry is an sole proprietor health care provider with primary practice located at 260 N Little Tor Rd , New City NY 10956-2627. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Staller, Jejerry can be contacted via phone (845) 634-4648.Contact Information
Primary practice address
260 N Little Tor Rd
New City NY 10956-2627
Phone: (845) 634-4648
Fax: (845) 643-7731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002976 | New York |
Profile Details
| NPI number | 1255473963 |
|---|---|
| LBN Legal business name | Staller, Jejerry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255473963 | NPPES |
| New York | Other | 22 | 002976 |
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