Individual
DR. JONATHAN DAVID KLONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
754 MONTAUK HWY, WEST ISLIP, NY 11795
(631) 422-0909
(631) 422-6660
Mailing address
754 MONTAUK HWY, WEST ISLIP, NY 11795
(631) 422-0909
(631) 422-6660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
249630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151TQ1
BCBS
—
01
—
3153792
UHC
—
01
—
8223776
CIGNA
—
01
—
9490348
AETNA
—
Enumeration date
07/08/2008
Last updated
01/17/2014
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