Provider Demographics
NPI:1811102262
Name:DOWNEY, JENNIFER IANTHE (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:IANTHE
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E 91ST STREET
Mailing Address - Street 2:# 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1659
Mailing Address - Country:US
Mailing Address - Phone:212-534-2515
Mailing Address - Fax:212-828-2192
Practice Address - Street 1:108 E 91ST STREET
Practice Address - Street 2:# 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1659
Practice Address - Country:US
Practice Address - Phone:212-534-2515
Practice Address - Fax:212-828-2192
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMD1348582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry