Klonsky, Jonathan David

Klonsky, Jonathan David is an individual health care provider with primary practice located at 754 Montauk Hwy , West Islip NY 11795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Klonsky, Jonathan David can be contacted via phone (631) 422-0909.

Contact Information

Primary practice address
754 Montauk Hwy West Islip NY 11795
Phone: (631) 422-0909
Fax: (631) 422-6660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 249630 New York

Profile Details

NPI number 1619130804
LBN Legal business name Klonsky, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jan 17th, 2014 - about 11 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 1619130804 NPPES
Other 9490348 AETNA
Other 3153792 AETNA
Other 151TQ1 AETNA
Other 8223776 AETNA

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