Individual
DR. JONATHAN DAVID OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 MERRICK ROAD, MASSAPEQUA, NY 11758
(516) 795-3033
(516) 795-3036
Mailing address
5500 MERRICK ROAD, MASSAPEQUA, NY 11758
(516) 795-3033
(516) 795-3036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
177184
NY
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
177184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01421883
—
NY
Enumeration date
07/27/2005
Last updated
10/21/2016
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