Individual
DR. JONATHAN MERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, SUITE 7D, NEW YORK, NY 10016-6402
(212) 263-7419
Mailing address
622 W 168TH ST, PH 137C, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
237099
NY
Other
Enumeration date
07/22/2007
Last updated
01/04/2012
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