Individual
JONATHAN E SHIRMAN
Active
Individual
JONATHAN E SHIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
20A22896
CA
208D00000X
General Practice Physician
318974
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/30/2019
Last updated
10/30/2025
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