Individual
DR. JONATHAN A JAVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
630 W 168TH ST, CENTER FOR MOLECULAR RECOGNITION, P&S 11-401, NEW YORK, NY 10032-3725
(212) 305-7308
(775) 898-5133
Mailing address
630 W 168TH ST, CENTER FOR MOLECULAR RECOGNITION, P&S 11-401, NEW YORK, NY 10032-3725
(212) 305-7308
(775) 898-5133
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
172890
NY
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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