Individual
DR. JONATHAN KNEIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NICOLLS RD RM 80, STONY BROOK, NY 11794-9350
(631) 444-2478
Mailing address
JONATHAN KNEIB, P.O. BOX 1554, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289098
NY
Other
Enumeration date
04/08/2014
Last updated
11/18/2021
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