Individual
JON-KAR ZUBIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
5 INTERVALE RD, PORT JEFFERSON, NY 11777-1020
(734) 330-9301
Mailing address
100 HIGHLANDS BLVD STE 301, PORT JEFFERSON, NY 11777-2320
(631) 686-7921
(631) 686-7972
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301053290
MI
2084P0800X
Psychiatry Physician
Primary
301624
NY
2084P0800X
Psychiatry Physician
4301053290
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4371722
—
MI
Enumeration date
11/15/2006
Last updated
04/17/2020
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