Provider Demographics
NPI:1114781440
Name:FRANCIS, JAHEEM ASHANTI (DPT, PT)
Entity Type:Individual
Prefix:
First Name:JAHEEM
Middle Name:ASHANTI
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3227
Mailing Address - Country:US
Mailing Address - Phone:347-908-7777
Mailing Address - Fax:
Practice Address - Street 1:4 MEDICAL PARK DR STE B
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3572
Practice Address - Country:US
Practice Address - Phone:877-410-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist