MR. Jonathan Itzchakov

NPI #1376974261 in Ridge, New York

Provider Information

NPI Number: 1376974261
Entity Type: Individual
Name: MR. Jonathan Itzchakov
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 3, 2013
Last Updated: Dec 3, 2013

Practice Location

Address: 35 EASON DR
City: Ridge
State: New York
ZIP Code: 11961-3111
Phone: (631) 345-6501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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