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Mr. Jonathan Itzchakov
Student in an Organized Health Care Education/Training Program in Ridge, New York
NPI 1376974261

Jonathan Itzchakov is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Jonathan Itzchakov practices in Ridge, NY. The NPI Number for Jonathan Itzchakov is 1376974261 and holds a License No. (New York).

The current practice location address for Jonathan Itzchakov is 35 Eason Dr, Ridge, NY and can be reached out via phone at 631-345-6501.

Location: 35 Eason Dr, Ridge, NY, 11367-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376974261
Provider Name
Jonathan Itzchakov
Credential
Provider Entity Type
Individual
Gender
Male
Address
35 Eason Dr, Ridge, NY, 11367-1713
Phone Number
631-345-6501
Fax Number
Provider Enumeration Date
12/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35 Eason Dr
City
Ridge
State
New York
Zip
11961-3111
Phone Number
631-345-6501
Fax Number
person
Provider Business Mailing Address Details
Address
35 Eason Dr
City
Ridge
State
New York
Zip
11961-3111
Phone Number
631-345-6501
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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