Individual provider · Type 1 NPI

Jimmie Overstreet

Specialist · New York, NY

NPI number 1508253733 Active

Practice location

236 2nd Ave, Suite 401
New York, NY 10003-2704

Fax (212) 683-8906

Mailing address

9010 149th St, Apt 1B
Jamaica, NY 11435-3956

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X497489041 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508253733

Jimmie Overstreet's National Provider Identifier is 1508253733, issued on Apr 27, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Apr 27, 2015.