Jimmy K Master PSYD

  • NPI 1164079802
According to our database, the NPI number for Jimmy K Master PSYD is 1164079802 and activated since 4 years ago. Jimmy K Master PSYD is an individual provider who specializes in Clinical, and the primary practice location is 100 Nicolls Rd, Stony Brook, NY 11794. You can also contact Jimmy K Master PSYD via telephone number is (631) 632-9510. Provider NPI information was last updated on 08/19/2019.

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Overview of Jimmy K Master PSYD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/19/2019
  • Last updated: 08/19/2019

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: P13072
  • License State: NY

Provider Mailing Address

  • Address: Po Box 1554
    Stony Brook, NY 11790
  • Phone: 631-444-2990
  • Fax:

Provider Practice Location

  • Address: 100 Nicolls Rd
    Stony Brook, NY 11794
  • Phone: 631-632-9510
  • Fax: 631-632-5870

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: P13072
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jimmy K Master PSYD?
  • A: The npi number for Jimmy K Master PSYD is 1164079802.
  • Q: What are Jimmy K Master PSYD's specialties?
  • A: Jimmy K Master PSYD's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jimmy K Master PSYD?
  • A: The medical license number for Jimmy K Master PSYD is P13072 and issued in NY in USA.
  • Q: Where is Jimmy K Master PSYD practice location?
  • A: Jimmy K Master PSYD is practicing at 100 Nicolls Rd, Stony Brook, NY 11794.
  • Q: How to contact Jimmy K Master PSYD?
  • A: You can contact Jimmy K Master PSYD via 631-632-9510.
Medicare Specialty
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Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.