Individual provider · Type 1 NPI

Jonathan Itzchakov

Student in an Organized Health Care Education/Training Program · Ridge, NY

NPI number 1376974261 Active

Practice location

35 Eason Dr
Ridge, NY 11961-3111

Mailing address

14431 70th Ave
Flushing, NY 11367-1713

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376974261

Jonathan Itzchakov's National Provider Identifier is 1376974261, issued on Dec 3, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ridge, NY. The record was last updated on Dec 3, 2013.