Individual
DR. JONATHAN PAUL SUMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
190 FAIR ST, KINGSTON, NY 12401-4502
(845) 331-0601
(845) 331-0601
Mailing address
PO BOX 3451, KINGSTON, NY 12402-3451
(845) 331-0601
(845) 331-0601
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004351-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01094059
—
NY
Enumeration date
07/07/2005
Last updated
11/17/2009
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