Individual
MR. JONATHAN TARQUINIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
345 GREAT KILLS RD, STATEN ISLAND, NY 10308-3514
(718) 490-5094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
345664
NY
Other
Enumeration date
05/15/2020
Last updated
11/27/2023
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