Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 306861 | NY |
NPI | 1013365816 |
---|---|
Provider Name | Dr. Jonathan Sarezky |
First Address | Huntington, NY 11743-4240 |
Second Address | Huntington, NY 11743-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2016 |
Last Update Date | 24/06/2021 |