Individual
JONATHAN DAVID DE OLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016
(404) 702-6795
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
83794
GA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
83794
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
281791
NY
Other
Enumeration date
05/01/2013
Last updated
07/29/2021
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