SearchNew York101YA0400X

Jeffrey Witherspoon, CASAC

NPI 1053706739 · on the registry since 2015 · sole proprietor

Practice

Address
98 Division Ave
Massapequa, NY 11758
Phone
(516) 398-7298

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York