ISAIAH DAVID PUTMAN


Address: 236 W 64th St Apt 2h, New York, NY 10023-6433
Phone: 2106178746

ISAIAH DAVID PUTMAN (NPI# 1083213144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083213144
Entity Type Individual
Full Name ISAIAH DAVID PUTMAN
Practice Address 236 W 64th St Apt 2h
New York
NY 10023-6433
Mailing Address 7 W 30th St
New York
NY 10001-4406
Practice Telephone 2106178746
Mailing Telephone 2106178746
Enumeration Date 2020-10-20
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7 W 30th St, New York, NY 100014406 2106178746

Office Location

Street Address 236 W 64TH ST APT 2H
City NEW YORK
State NY
Zip Code 10023-6433

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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