Doctor Name: | MR. PATRICK JAMES JEWELS |
NPI Number: | 1033242805 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 025259 |
Business Practice Address: | 159 Indian Head Rd Commack, NY - 117252205 |
Business Phone Number: | 6315434500 |
Business Fax Number: | 6315425162 |
Mailing Address: | 24 Pearsall St, BABYLON |
State: | NY |
Postal Code: | 117022518 |
Phone Number: | 6318930529 |
Fax Number: | 6318930529 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251C2600X |
License Number: | 025259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Cardiopulmonary |
Taxonomy Definition: |