Individual
DR. JONATHAN SCOTT MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
273595
NY
207R00000X
Internal Medicine Physician
MD21404
ME
207RP1001X
Pulmonary Disease Physician
273595
NY
207RP1001X
Pulmonary Disease Physician
Primary
63488
CT
207RP1001X
Pulmonary Disease Physician
MD21404
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
10/07/2020
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