Individual provider · Type 1 NPI

Jonathan Joseph Detrixhe, M.A.

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1760612725 Active

Practice location

635 W 165th St, 6th Flr
New York, NY 10032-3724

Call (212) 305-4666 Map

Mailing address

635 West 165th Street,, 6th Floor New York Presbyterian Hospital
New York, NY 10032

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760612725

Jonathan Joseph Detrixhe, M.A.'s National Provider Identifier is 1760612725, issued on Jul 23, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Oct 7, 2010.