Organization
JONATHAN P SUMBER, DPM,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PAUL SUMBER DPM (OWNER)
(845) 331-0601
Entity
Organization
Contact information
Practice address
190 FAIR ST, KINGSTON, NY 12401-0514
(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
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004351-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01094059
—
NY
Enumeration date
12/20/2007
Last updated
12/20/2007
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