Knisely, Jonathan Ps

Knisely, Jonathan Ps is an individual health care provider with primary practice located at 525 E 68Th St , New York NY 10065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Knisely, Jonathan Ps can be contacted via phone (212) 746-3610.

Contact Information

Primary practice address
525 E 68Th St New York NY 10065
Fax: (212) 746-8749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 032330 Connecticut

Profile Details

NPI number 1245228246
LBN Legal business name Knisely, Jonathan Ps
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 23rd, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245228246 NPPES
Connecticut MEDICAID 001323302

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