Jermaine McIntosh
Psychologist, School in New York, NY. Individual provider (NPI-1).
NPI number1114650652
StatusActive
Last updated in NPPESJul 1, 2022
Details
- NPI
- 1114650652
- Entity type
- Individual (NPI-1)
- Name
- Jermaine McIntosh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2022
- Certification date
- Jul 1, 2022
- Last updated
- Jul 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
220 E 42nd St Fl 8New York, NY 10017-5832
Phone 212-273-6100
Mailing address
220 E 42nd St Fl 8New York, NY 10017-5832
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