Individual
DR. JONATHAN BESCHLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 NEW HYDE PARK RD, GARDEN CITY, NY 11530-3909
(516) 488-1313
Mailing address
143 HARRISON ST, GARDEN CITY, NY 11530-2432
(718) 664-8702
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101240332
VA
207N00000X
Dermatology Physician
Primary
278210
NY
Other
Enumeration date
10/10/2006
Last updated
11/17/2023
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