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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1871575647 NPPES
New York MEDICAID 01144018

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