Individual
DR. JONATHAN LEONARD KANEGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
19 W 34TH ST, SOCIOMETRIC INSTITUTE- PH FLOOR, NEW YORK, NY 10001-3006
(212) 947-7111
Mailing address
239 E 88TH ST APT 4, NEW YORK, NY 10128-0907
(646) 634-5080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
017102
NY
103TC0700X
Clinical Psychologist
21681
CA
103TC0700X
Clinical Psychologist
8810
MA
103TC0700X
Clinical Psychologist
PY9535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10433489339
VALUE OPTIONS
NY
01
—
435284
MHN
—
Enumeration date
02/21/2008
Last updated
06/13/2023
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