Amdur, Jonathan Todd
Amdur, Jonathan Todd is an individual health care provider with primary practice located at 194 Deer Park Ave , Babylon NY 11702-2804. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Amdur, Jonathan Todd can be contacted via phone (631) 321-6300.Contact Information
Primary practice address
194 Deer Park Ave
Babylon NY 11702-2804
Phone: (631) 321-6300
Fax: (631) 321-6338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X007446 | New York |
Profile Details
| NPI number | 1255413217 |
|---|---|
| LBN Legal business name | Amdur, Jonathan Todd |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 20th, 2010 - about 14 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 | 1255413217 | NPPES |
| New York | Other | 5897873 | GHI INDIVIDUAL # |
| New York | Other | C07446-0 | GHI INDIVIDUAL # |
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