Individual
JONATHAN FLOREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 WEIRFIELD ST, RIDGEWOOD, NY 11385-5349
(718) 456-4600
Mailing address
288 KISSEL AVE APT 5P, STATEN ISLAND, NY 10310-1648
(401) 999-3189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
306361-01
NY
Other
Enumeration date
03/31/2017
Last updated
07/29/2020
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