Provider Demographics
NPI:1669704391
Name:ALBIN, JAYME RENEE (MA, PHD)
Entity type:Individual
Prefix:DR
First Name:JAYME
Middle Name:RENEE
Last Name:ALBIN
Suffix:
Gender:F
Credentials:MA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1065 2ND AVE APT 24G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3441
Mailing Address - Country:US
Mailing Address - Phone:212-631-1133
Mailing Address - Fax:212-631-1133
Practice Address - Street 1:120 E 56TH ST
Practice Address - Street 2:740
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3607
Practice Address - Country:US
Practice Address - Phone:212-631-1133
Practice Address - Fax:212-631-1133
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018663103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral