Individual
JONATHAN MAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(973) 476-3368
Mailing address
397 GREENWICH ST, BERGENFIELD, NJ 07621-3603
(973) 476-3368
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB11883100
NJ
207P00000X
Emergency Medicine Physician
Primary
321590
NY
Other
Enumeration date
03/25/2019
Last updated
12/26/2024
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