Individual
JONATHAN ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
261 JERICHO TPKE, FLORAL PARK, NY 11001-2146
(516) 492-3155
Mailing address
261 JERICHO TPKE, FLORAL PARK, NY 11001-2146
(516) 492-3155
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00376800
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007344
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2020
Last updated
08/21/2023
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