Individual
DR. JONATHAN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 5TH AVE, OFFICE #4, NEW YORK, NY 10028-0110
(212) 722-5345
(646) 672-0741
Mailing address
1050 5TH AVE, OFFICE #4, NEW YORK, NY 10028-0110
(212) 722-5345
(646) 672-0741
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
138275
NY
2084P0800X
Psychiatry Physician
Primary
138275
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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