Individual
MR. JONATHAN DELMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH, BROOKLYN, NY 11237-4006
(718) 963-6551
Mailing address
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH, BROOKLYN, NY 11237-4006
(718) 963-6551
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
018980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02727746
—
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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