Individual
JAIMIE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD478543
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3971298
TISCH
—
Enumeration date
05/14/2017
Last updated
10/14/2022
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