Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X010496-1 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | X010496-1 | NY |
NPI | 1285769695 |
---|---|
Provider Name | Jeffrey M. Jamieson |
First Address | Little Ferry, NJ 07643-1355 |
Second Address | New York, NY 10017-9249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 18/10/2018 |