Kagan, Jonathan M

Kagan, Jonathan M is an sole proprietor health care provider with primary practice located at 940 Park Ave , New York NY 10028-0311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kagan, Jonathan M can be contacted via phone (212) 570-6300.

Contact Information

Primary practice address
940 Park Ave New York NY 10028-0311
Fax: (212) 472-4524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 112332 New York

Profile Details

NPI number 1548265796
LBN Legal business name Kagan, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Feb 26th, 2008 - about 16 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 1548265796 NPPES
New York MEDICAID 00203241

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