Provider / Organization | NPI | Date Certified |
---|---|---|
MASON LYKES | 1962086686 | 2021-05-09 |
Mason Lykes is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962086686. Registration indicates Mason Lykes is a provider of services with a specialization in Technologists, Technicians & Other Technical Service Providers, Specialist/Technologist, Other (Specialist/Technologist, Other: Art, Medical, ) (Specialist/Technologist, Other Art, Medical, Technologists, Technicians & Other Technical Service Providers) (Specialist/Technologist, Other, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center, ) (All Other Specialties & Provider Types, ) (Clinic/Center, Ambulatory Health Care Facilities) (Nursing Service Related Providers, Technician) (Technician, ) (Technician, Nursing Service Related Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist) (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
Entity Type | Individual |
Provider Name | Mason Lykes TATTOO ARTIST |
Practice Office Address | 160 MADISON AVE STE 6 NEW YORK, NY US |
Practice Office Telephone | 9294348004 |
Mailing Address | 167 ALLEN ST APT 2C NEW YORK, NY 100022155 US |
Business Telephone | 6463312359 |
Business Email [] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
246ZA2600X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Specialist/Technologist, Other: Art, Medical Specialist/Technologist, Other Art, Medical Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other | 50107436
NY |
261Q00000X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center All Other Specialties & Provider Types Clinic/Center Ambulatory Health Care Facilities | |
374700000X | Nursing Service Related Providers Technician Technician Technician Nursing Service Related Providers | 50107436
NY |
2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | 50107436
NY |
193200000X MULT | Group Code |