Individual
JONATHAN DOV HOCHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 DOLSON AVE STE 202, MIDDLETOWN, NY 10940-6570
(845) 343-1486
Mailing address
686 EVERGREEN DR, WEST HEMPSTEAD, NY 11552-3407
(516) 993-5178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060766
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2018
Last updated
12/12/2019
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