Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 0101271072 | VA |
N | 207YS0123X | Facial Plastic Surgeon | 261903 | NY |
N | 207YS0123X | Facial Plastic Surgeon | A135174 | CA |
N | 207YS0123X | Facial Plastic Surgeon | D0090838 | MD |
N | 207YS0123X | Facial Plastic Surgeon | MD048906 | DC |
NPI | 1114244084 |
---|---|
Provider Name | Dr. Jonathan Ari Cabin |
First Address | Arlington, VA 22209-2470 |
Second Address | Arlington, VA 22209-2470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2010 |
Last Update Date | 05/07/2021 |