Raanan, Jonathan L

Raanan, Jonathan L is an individual health care provider with primary practice located at 24 Research Way Suite 200, East Setauket NY 11733-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Raanan, Jonathan L can be contacted via phone (631) 444-1210.

Contact Information

Primary practice address
24 Research Way Suite 200 East Setauket NY 11733-3453
Phone: (631) 444-1210
Fax: (631) 444-1535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 226609-1 New York

Profile Details

NPI number 1790754976
LBN Legal business name Raanan, Jonathan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790754976 NPPES
Illinois MEDICAID 0361131251

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