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Individual

JONATHAN J RASOULI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 SEAVIEW AVE, STATEN ISLAND, NY 10305-3419
(718) 226-4940
Mailing address
501 SEAVIEW AVE, STATEN ISLAND, NY 10305-3419
(718) 226-4940

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
281553
NY
207T00000X
Neurological Surgery Physician
Primary
35.135582
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0348294
OH
Enumeration date
04/05/2012
Last updated
04/21/2025
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