Individual provider · Type 1 NPI
Jonathan Wahl, MD
General Practice Physician · Jericho, NY
NPI number
1821155755
Active
Practice location
471 N Broadway, Suite 278
Jericho, NY 11753-2106
Fax (718) 368-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 232419 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1821155755
Jonathan Wahl, MD's National Provider Identifier is 1821155755, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jericho, NY. The record was last updated on Nov 3, 2009.