Jonathan P Sumber, Dpm,pc
Podiatrist, Primary Podiatric Medicine in Kingston, NY. Organization (NPI-2).
NPI number1235313669
StatusActive
Last updated in NPPESDec 20, 2007
Details
- NPI
- 1235313669
- Entity type
- Organization (NPI-2)
- Legal business name
- Jonathan P Sumber, Dpm,pc
- Organization subpart
- No
- Enumeration date
- Dec 20, 2007
- Last updated
- Dec 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | N004351-1 | NY | Yes |
Practice location
190 Fair StKingston, NY 12401-0514
Phone 845-331-0601 · Fax 845-331-0601
Mailing address
Po Box 3451Kingston, NY 12402-3451
Phone 845-331-0601 · Fax 845-331-0601
Authorized official
Jonathan Paul Sumber
Owner
8453310601
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