person
Mr. Jonathan Joseph Detrixhe, MA
Student in an Organized Health Care Education/Training Program in New York, New York
NPI 1760612725

Jonathan Joseph Detrixhe is a Student in an Organized Health Care Education/Training Program based in New York, NY. Jonathan Joseph Detrixhe practices in New York, NY and has the professional credentials of MA. The NPI Number for Jonathan Joseph Detrixhe is 1760612725 and holds a License No. (New York).

The current practice location address for Jonathan Joseph Detrixhe is 635 W 165Th St, New York, NY and can be reached out via phone at 212-305-4666.

Location: 635 W 165Th St, New York, NY, 10032
person
Provider Profile Details
NPI Number
1760612725
Provider Name
Jonathan Joseph Detrixhe
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
635 W 165Th St, New York, NY, 10032
Phone Number
212-305-4666
Fax Number
Provider Enumeration Date
07/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
635 W 165Th St
City
State
Zip
10032-3724
Phone Number
212-305-4666
Fax Number
person
Provider Business Mailing Address Details
Address
635 W 165Th St
City
State
Zip
10032-3724
Phone Number
212-305-4666
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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