Provider Demographics
NPI:1285769695
Name:JAMIESON, JEFFREY M (DC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:M
Last Name:JAMIESON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14 CLAREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1355
Mailing Address - Country:US
Mailing Address - Phone:212-404-8090
Mailing Address - Fax:212-404-8091
Practice Address - Street 1:20 E 46TH ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-9249
Practice Address - Country:US
Practice Address - Phone:212-404-8090
Practice Address - Fax:212-404-8091
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010496-1111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation