National Provider Identifier
Jay Im
Jay Im is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3627.
Profile Overview
- NPI
- 1710506589
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 13, 2020
- Last Updated
- April 13, 2020
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3627
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1710506589
- Entity Type
- Individual
- Last Name
- Im
- First Name
- Jay
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3627
- Enumeration Date
- April 13, 2020
- Last Updated
- April 13, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)