Altus, Jonathan Drew
Altus, Jonathan Drew is an individual health care provider with primary practice located at 920 Atlantic Ave , Baldwin Harbor NY 11510-4241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Altus, Jonathan Drew can be contacted via phone (516) 623-8700.Contact Information
Primary practice address
920 Atlantic Ave
Baldwin Harbor NY 11510-4241
Phone: (516) 623-8700
Fax: (516) 623-3746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 164913 | New York |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 164913 | New York |
Profile Details
NPI number | 1871575647 |
---|---|
LBN Legal business name | Altus, Jonathan Drew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2005 |
Last updated | Jul 23rd, 2015 - about 9 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 | 1871575647 | NPPES |
New York | MEDICAID | 01144018 |
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