MEDICARE: JONATHAN S THURM DPMPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N004603	NY

General Provider Information

NPI Number	:	1194939785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONATHAN S THURM DPMPC

Provider Business Mailing Address
First Line	:	532 NEPTUNE AVE
Second Line	:	#203
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4010
Country	:	US
Telephone Number	:	718-449-7698
Fax Number	:

Provider Business Practice Location Address
First Line	:	532 NEPTUNE AVE
Second Line	:	#203
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4010
Country	:	US
Telephone Number	:	718-449-7698
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN STUART THURM
Credential	:	DPM
Telephone Number	:	718-449-7698

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/22/2020

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