Individual
DR. JONATHAN KANEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4644 LINCOLN BLVD STE 552, MARINA DEL REY, CA 90292-6391
(514) 458-7548
Mailing address
1358 SPRING VALLEY RD, OSSINING, NY 10562-1627
(514) 458-7548
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
152520
CA
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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