Individual
DR. JONATHAN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
55 MAPLE AVE, SUITE 306, ROCKVILLE CENTRE, NY 11570-4274
(516) 705-8836
Mailing address
11 VERNON CT, ROCKVILLE CENTRE, NY 11570-5400
(516) 639-4925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011832
NY
Other
Enumeration date
02/12/2010
Last updated
05/05/2015
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