Individual
JONATHAN SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, SUITE 5K, NEW YORK, NY 10003-3314
(212) 844-6687
Mailing address
187 E 4TH ST, APT 1K, NEW YORK, NY 10009-7201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P96711
NY
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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