Dyckman, Jonathan Charles

Dyckman, Jonathan Charles is an individual health care provider with primary practice located at 127 S Broadway , Yonkers NY 10701-4006. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Dyckman, Jonathan Charles can be contacted via phone (845) 392-2338.

Contact Information

Primary practice address
127 S Broadway Yonkers NY 10701-4006
Phone: (845) 392-2338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 682002 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402902 New York

Profile Details

NPI number 1366081697
LBN Legal business name Dyckman, Jonathan Charles
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated May 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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