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NPI Code Detail

MEDICARE: JASON HOLLOWAY PSYD PLLC

MEDICARE: JASON HOLLOWAY PSYD PLLC
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1659221612
Entity Type Code : Organization
Provider Name (Legal Business Name) : JASON HOLLOWAY PSYD PLLC
Provider Business Mailing Address
First Line : 80 5TH AVE RM 1406
Second Line :
City : NEW YORK
State : NY
Zip : 10011-8015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 80 5TH AVE RM 1406
Second Line :
City : NEW YORK
State : NY
Zip : 10011-8015
Country : US
Telephone Number : 914-980-5688
Fax Number :
Authorized Official
Title or Position : PSYCHOLOGIST
Name : JASON HOLLOWAY
Credential : PSYD
Telephone Number : 914-980-5688
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “JASON HOLLOWAY PSYD PLLC ” Practice Location

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