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Contact Information

CHRISTOPHER J JEROME, RPA-C
203 UNION AVE
HOLBROOK, NY11741-1704
 Phone: 631-585-5858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTOPHER J JEROME · (Male)

NPI # 1750567798
Status Active
Credentials RPA-C
Entity Individual
Enumeration date 01/19/2008
Last updated 01/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 012158
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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