| Doctor Name: | MR. JONATHAN D. BRIGGS |
| NPI Number: | 1053380220 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CFNP |
| License Number: | 01503759 |
| Business Practice Address: | 415 E Main St Endicott, NY - 137604925 |
| Business Phone Number: | 6077852460 |
| Business Fax Number: | |
| Mailing Address: | 415 E Main St, ENDICOTT |
| State: | NY |
| Postal Code: | 137604925 |
| Phone Number: | 6077852460 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 01503759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |