Individual
JONATHAN PAUL KORTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 ADAMS AVE, HAUPPAUGE, NY 11788-3631
(631) 427-3700
Mailing address
4 ERITA LN, SMITHTOWN, NY 11787-1305
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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