Edom, Jonathan

Edom, Jonathan is an sole proprietor health care provider with primary practice located at 19 School St , Ronkonkoma NY 11779-2209. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Edom, Jonathan can be contacted via phone (631) 721-3860.

Contact Information

Primary practice address
19 School St Ronkonkoma NY 11779-2209
Phone: (631) 721-3860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 646242-1 New York

Profile Details

NPI number 1992081145
LBN Legal business name Edom, Jonathan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2011
Last updated Nov 1st, 2011 - about 13 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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