Individual
JONATHAN S. FAINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
7568 187TH ST FL 2, FRESH MEADOWS, NY 11366-1726
(718) 303-3720
Mailing address
255 W 85TH ST APT 14AB, NEW YORK, NY 10024-3260
(617) 835-2019
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
311006
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
08/17/2021
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