Individual
JONATHAN DALE HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
322 E 90TH ST APT 4B, NEW YORK, NY 10128-4229
(731) 439-7271
Mailing address
322 E 90TH ST APT 4B, NEW YORK, NY 10128-4229
(731) 439-7271
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
996250151
NY
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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