Individual
DR. JONATHAN PLAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901
(845) 368-5039
(845) 368-5327
Mailing address
450 CLARKSON AVE # MSC6, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA10403900
NJ
207L00000X
Anesthesiology Physician
Primary
295497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
NY MEDICARE
NY
Enumeration date
07/14/2014
Last updated
09/07/2018
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