Provider Demographics
NPI:1588644652
Name:BEST, JON HENRY JR (PT)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:HENRY
Last Name:BEST
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AQUEDUCT RD
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-1162
Mailing Address - Country:US
Mailing Address - Phone:845-736-1095
Mailing Address - Fax:845-736-2455
Practice Address - Street 1:23 AQUEDUCT RD
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524-1162
Practice Address - Country:US
Practice Address - Phone:845-736-1095
Practice Address - Fax:845-736-2455
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0084681225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist