Koblenzer, Jonathan
Koblenzer, Jonathan is an sole proprietor health care provider with primary practice located at 16 E 79Th St Suite 42, New York NY 10021-0150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Koblenzer, Jonathan can be contacted via phone (212) 794-7115.Contact Information
Primary practice address
16 E 79Th St Suite 42
New York NY 10021-0150
Phone: (212) 794-7115
Fax: (212) 585-2178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 148833 | New York |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 148833 | New York |
Profile Details
| NPI number | 1073616199 |
|---|---|
| LBN Legal business name | Koblenzer, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073616199 | NPPES |
| New York | MEDICAID | 01127682 |
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