Jack Randy Pope
Jack Randy Pope is an Early Intervention Provider Agency in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3251 Third AveBronx, NY 10456-6832
Phone: (347) 236-9938
Fax: (347) 281-9138
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1518733443 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 1, 2023 |
| Last updated in NPPES | December 1, 2023 |
| Certification date | December 1, 2023 |
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