person
Dr. Jonathan Logan, MD
Allergy Physician in Canandaigua, New York
NPI 1609871573

Jonathan Logan is an Allergy Physician based in Canandaigua, NY and is specialized in Allergy. Jonathan Logan practices in Canandaigua, NY and has the professional credentials of MD. The NPI Number for Jonathan Logan is 1609871573 and holds a License No. 089645 (New York).

The current practice location address for Jonathan Logan is 201 Parrish St, Canandaigua, NY and can be reached out via phone at 585-394-6070.

Location: 201 Parrish St, Canandaigua, NY, 14424-1727
person
Provider Profile Details
NPI Number
1609871573
Provider Name
Jonathan Logan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 Parrish St, Canandaigua, NY, 14424-1727
Phone Number
585-394-6070
Fax Number
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P010089546 01 NY EXCELLUS BLUE CHOICE
1360 01 NY EXCELLUS BLUE SHIELD
100497AA 01 NY PREFERRED CARE AL
00025452201 01 NY UNIVERA
030001160 01 NY RAILROAD MEDICARE
100497DT 01 NY PREFERRED CARE PA
5176319 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
201 Parrish St
City
State
Zip
14424-1727
Phone Number
585-394-6070
Fax Number
person
Provider Business Mailing Address Details
Address
201 Parrish St
City
State
Zip
14424-1727
Phone Number
585-394-6070
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
089645 (New York)
Definition
Definition to come...
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