Fader, Jonathan

Fader, Jonathan is an individual health care provider with primary practice located at 138 W 25Th St Fl 10 , New York NY 10001-7470. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fader, Jonathan can be contacted via phone (212) 335-2100.

Contact Information

Primary practice address
138 W 25Th St Fl 10 New York NY 10001-7470
Fax: (646) 775-4142
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016156 New York

Profile Details

NPI number 1710971064
LBN Legal business name Fader, Jonathan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Feb 14th, 2021 - about 5 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.

Request for update

Popular Providers