MEDICARE: JAYNE WRIGHT

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1629684691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYNE WRIGHT

Provider Business Mailing Address
First Line	:	10819 ROCKAWAY BLVD
Second Line	:
City	:	SOUTH OZONE PARK
State	:	NY
Zip	:	11420-1034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 OCEANSIDE RD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1521
Country	:	US
Telephone Number	:	516-205-4007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2020
Last Update Date	:	12/21/2025

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Directions to “ JAYNE WRIGHT ” Practice Location

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