Individual
JONATHAN DREW ALTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 ATLANTIC AVE, BALDWIN HARBOR, NY 11510-4241
(516) 623-8700
(516) 623-3746
Mailing address
920 ATLANTIC AVE, BALDWIN HARBOR, NY 11510-4241
(516) 623-8700
(516) 623-3746
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
164913
NY
207RP1001X
Pulmonary Disease Physician
Primary
164913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144018
—
NY
Enumeration date
11/17/2005
Last updated
07/23/2015
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