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Individual

MR. JONATHAN H SUMNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 HEMPSTEAD AVE, SUITE H 8, ROCKVILLE CENTRE, NY 11570-4033
(516) 766-0355
Mailing address
30 HEMPSTEAD AVE, SUITE H 8, ROCKVILLE CENTRE, NY 11570-4033
(516) 766-0355

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
145571
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00821018
NY
Enumeration date
11/18/2005
Last updated
05/08/2008
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