Organization
JONATHAN D ALTUS MD FCCP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D ALTUS MD (OWNER/AUTHORIZED REP/MD)
(516) 623-8700
Entity
Organization
Contact information
Practice address
920 ATLANTIC AVE, BALDWIN, NY 11510-4241
(516) 623-8700
(516) 623-3746
Mailing address
920 ATLANTIC AVE, BALDWIN, NY 11510-4241
(516) 623-8700
(516) 623-3746
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
03/31/2015
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