Individual
DR. JONATHAN KOBLENZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 E 79TH ST, SUITE 42, NEW YORK, NY 10021-0150
(212) 794-7115
(212) 585-2178
Mailing address
16 E 79TH ST, SUITE 42, NEW YORK, NY 10021-0150
(212) 794-7115
(212) 585-2178
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
148833
NY
2084P0805X
Geriatric Psychiatry Physician
Primary
148833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01127682
—
NY
Enumeration date
09/06/2006
Last updated
09/11/2025
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