Dr. Jonathan Shulman, D.O.
Internal Medicine in Mineola, NY. Individual provider (NPI-1).
NPI number1023316635
StatusActive
Last updated in NPPESSep 9, 2022
Details
- NPI
- 1023316635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Shulman
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2011
- Certification date
- Sep 9, 2022
- Last updated
- Sep 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 270559 | NY | Yes |
Practice location
259 1st StMineola, NY 11501-3957
Phone 516-663-2381
Mailing address
259 1st StMineola, NY 11501-3957
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