Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 293983 | NY |
NPI | 1013303015 |
---|---|
Provider Name | Dr. Jonathan Paramo |
First Address | Astoria, NY 11102-1890 |
Second Address | Astoria, NY 11102-1890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2015 |
Last Update Date | 21/03/2021 |