Healthcare Provider Details

I. General information

NPI: 1720943111
Provider Name (Legal Business Name): JONATHAN ARONOV
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14749 84TH RD
BRIARWOOD NY
11435-2237
US

IV. Provider business mailing address

14749 84TH RD
BRIARWOOD NY
11435-2237
US

V. Phone/Fax

Practice location:
  • Phone: 347-870-2325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030808-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: