Mardirossian, Jonathan
Mardirossian, Jonathan is an sole proprietor health care provider with primary practice located at 12 Maplemoor Lane , White Plains NY 10605-4704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mardirossian, Jonathan can be contacted via phone (914) 684-0020.Contact Information
Primary practice address
12 Maplemoor Lane
White Plains NY 10605-4704
Phone: (914) 684-0020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA03332300 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G031724 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 116323 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01028855A | Indiana |
Profile Details
| NPI number | 1811975493 |
|---|---|
| LBN Legal business name | Mardirossian, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Apr 12th, 2013 - about 12 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 | 1811975493 | NPPES |
| New York | MEDICAID | 00752694 | |
| New York | Other | P00278038 | |
| New York | MEDICAID | P3007526949 |
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