Blazon, Jonathan

Blazon, Jonathan is an individual health care provider with primary practice located at 71 W 23Rd St Ste 1400 , New York NY 10010-4101. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blazon, Jonathan can be contacted via phone (917) 947-9185.

Contact Information

Primary practice address
71 W 23Rd St Ste 1400 New York NY 10010-4101
Phone: (917) 947-9185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 104287 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 092972 New York

Profile Details

NPI number 1639698376
LBN Legal business name Blazon, Jonathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2017
Last updated Jun 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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