Individual
JONATHAN ADAR SHECTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
610 W 58TH ST, NEW YORK, NY 10019-1005
(212) 606-1136
(212) 606-1109
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(212) 606-1166
(212) 606-1109
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
979934
NY
363LF0000X
Family Nurse Practitioner
356658
NY
Other
Enumeration date
08/12/2020
Last updated
11/18/2025
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