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General NPI Number Information
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NPI Number | 1699540658
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Entity Type | Organization
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Legal Business Name | JONATHAN E ARIYARATNAM MD PLLC
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1000 MONTAUK HWY
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City | WEST ISLIP
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State | NY
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Zip | 11795-4927
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Country | US
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Telephone | 516-813-6875
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Fax |
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Provider Business Mailing Address
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Address Line | 8008 135TH ST
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City | JAMAICA
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State | NY
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Zip | 11435-1049
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Country | US
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Telephone | 516-813-6875
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JONATHAN ARIYARATNAM
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Credential |
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Telephone | 516-813-6875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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