Nasser, Jonathan

Nasser, Jonathan is an individual health care provider with primary practice located at 300 Crystal Run Rd , Middletown NY 10941-4069. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nasser, Jonathan can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
300 Crystal Run Rd Middletown NY 10941-4069
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 214828 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 214828 New York

Profile Details

NPI number 1194713347
LBN Legal business name Nasser, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 12th, 2020 - about 6 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 1194713347 NPPES
New York MEDICAID 02266273

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