Jeffrey A Parker, DPM
Podiatrist in Port Jervis, NY. Individual provider (NPI-1).
NPI number1982603346
StatusActive
Last updated in NPPESAug 4, 2010
Details
- NPI
- 1982603346
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey A Parker
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2005
- Last updated
- Aug 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | N002727-1 | NY | Yes |
Practice location
156 Pike StPort Jervis, NY 12771-1808
Phone 845-856-7700 · Fax 845-858-9284
Mailing address
156 Pike StPort Jervis, NY 12771-1808
Phone 845-856-7700 · Fax 845-858-9284
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