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NPI Code Detail

MEDICARE: DR. JAMILA NAYO CODRINGTON

MEDICARE: DR. JAMILA NAYO CODRINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent Psychologist017350NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487835765
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMILA NAYO CODRINGTON
Provider Business Mailing Address
First Line : 750 TILDEN ST
Second Line :
City : BRONX
State : NY
Zip : 10467-6013
Country : US
Telephone Number : 718-231-3400
Fax Number : 718-655-3503
Provider Business Practice Location Address
First Line : 750 TILDEN ST
Second Line :
City : BRONX
State : NY
Zip : 10467-6013
Country : US
Telephone Number : 718-231-3400
Fax Number : 718-655-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2007
Last Update Date : 11/15/2007

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