Individual
JONATHAN D VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E 70TH ST # STARR-607, NEW YORK, NY 10021-9800
(212) 746-2340
(212) 746-8532
Mailing address
520 E 70TH ST # STARR-607, NEW YORK, NY 10021-9800
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
146505
NY
2084N0600X
Clinical Neurophysiology Physician
Primary
146505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00983160
—
NY
Enumeration date
10/09/2006
Last updated
09/20/2011
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