Doctor Name: | DR. JAY VOSS |
NPI Number: | 1659635936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 35S100393700 |
Business Practice Address: | 760 Broadway Woodhull Medical And Mental Health Center Broadway, NY - 11206 |
Business Phone Number: | 7189638000 |
Business Fax Number: | 7186303122 |
Mailing Address: | 760 Broadway Department Of Managed Care Room 2b230, Woodhull Medical And Mental Health Center. BROOKLYN |
State: | NY |
Postal Code: | 11206 |
Phone Number: | 7189638000 |
Fax Number: | 7186303122 |
NPI Enumeration Date: | 07/01/2012 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35S100393700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |