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Individual
JONATHAN HUBERT
Active
Individual
JONATHAN HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72 088650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664359
—
NY
01
—
051104000053
FIDELIS
NY
01
—
148545
MVP
NY
01
—
400201277001
CDPHP
NY
Enumeration date
02/05/2013
Last updated
02/05/2013
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