Individual
DR. JONATHAN ANDREW SCHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SEAVIEW AVE, SUITE 302, STATEN ISLAND, NY 10305-3419
(718) 226-6800
(718) 226-1295
Mailing address
501 SEAVIEW AVE, SUITE 302, STATEN ISLAND, NY 10305-3419
(718) 226-6800
(718) 226-1295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
236577
NY
2086S0129X
Vascular Surgery Physician
Primary
236577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236371
—
NY
Enumeration date
08/05/2007
Last updated
12/02/2013
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