Doctor Name: | DR. JONATHAN OWENS |
NPI Number: | 1801896337 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 177184 |
Business Practice Address: | 500 West Main Street Suite 204 Babylon, NY - 11702 |
Business Phone Number: | 6313760700 |
Business Fax Number: | 6313760102 |
Mailing Address: | 500 West Main Street, Suite 204 BABYLON |
State: | NY |
Postal Code: | 11702 |
Phone Number: | 6313760700 |
Fax Number: | 6313760102 |
NPI Enumeration Date: | 07/27/2005 |
NPI Last Update Date: | 10/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 177184 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |