Jimmie Overstreet

NPI 1508253733 · on the registry since 2015 · sole proprietor

Practice

Address: 236 2nd Ave
Suite 401
New York, NY 10003
Phone: (212) 683-8905
Fax: (212) 683-8906
Organisation at this address: Functional Life Achievement, Inc
Functional Life Achievements Inc
Functional Life Achievement. Ink.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York