Jonathan Bader

NPI #1336014661 in Copiague, New York

Provider Information

NPI Number: 1336014661
Entity Type: Individual
Name: Jonathan Bader
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 7, 2025
Last Updated: Oct 7, 2025

Practice Location

Address: 445 OAK ST
City: Copiague
State: New York
ZIP Code: 11726-3111
Phone: (631) 257-5173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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