Most Relevant Information
Provider Data
| NPI Number: | 1003441551 |
| Provider Name: | JEENO JOSEPH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 045690 |
Most Important Dates
| Enumeration Date: | 03/05/2020 |
| Last Updated: | 03/05/2020 |
Provider Practice Location
1415 RICHMOND AVE
STATEN ISLAND
NY
103141553
Practice Location Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |
Provider Mailing Location
7 CARNEGIE PLZ
CHERRY HILL
NJ
080031000
Provider Mailing Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |