person
Dr. Jonathan Wahl, MD
General Practice Physician in Jericho, New York
NPI 1821155755

Jonathan Wahl is a General Practice Physician based in Jericho, NY. Jonathan Wahl practices in Jericho, NY and has the professional credentials of MD. The NPI Number for Jonathan Wahl is 1821155755 and holds a License No. 232419 (New York).

The current practice location address for Jonathan Wahl is 471 N Broadway, Jericho, NY and can be reached out via phone at 516-695-6340 and via fax at 718-368-0400.

Location: 471 N Broadway, Jericho, NY, 11753-2106
person
Provider Profile Details
NPI Number
1821155755
Provider Name
Jonathan Wahl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
471 N Broadway, Jericho, NY, 11753-2106
Phone Number
516-695-6340
Fax Number
718-368-0400
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02848373 05 NY
institution
Provider Business Practice Location Address Details
Address
471 N Broadway
City
State
Zip
11753-2106
Phone Number
516-695-6340
Fax Number
718-368-0400
person
Provider Business Mailing Address Details
Address
471 N Broadway
City
State
Zip
11753-2106
Phone Number
516-695-6340
Fax Number
718-368-0400
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
232419 (New York)
Definition
Definition to come...
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