Individual
JONATHAN L RAANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 RESEARCH WAY, SUITE 200, EAST SETAUKET, NY 11733-3453
(631) 444-1210
(631) 444-1535
Mailing address
24 RESEARCH WAY, SUITE 200, EAST SETAUKET, NY 11733-3453
(631) 444-1210
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
226609-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361131251
—
IL
Enumeration date
03/17/2006
Last updated
07/08/2007
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