Individual
JONATHAN SANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 BONNIE CT, SPRING VALLEY, NY 10977-2222
(845) 287-1770
Mailing address
8 BONNIE CT, SPRING VALLEY, NY 10977-2222
(845) 287-1770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
682763680
NY
2255A2300X
Athletic Trainer
682763680
NY
2255A2300X
Athletic Trainer
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Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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