Individual
JONATHAN BAEHREND SASENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
269-1 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-3380
Mailing address
269-1 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-3380
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
292621-1
NY
Other
Enumeration date
03/06/2015
Last updated
05/19/2021
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