MEDICARE: JONATHAN ARAD MD

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	208600000X	Surgery Physician	268725-1	NY

General Provider Information

NPI Number	:	1104090901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN ARAD MD

Provider Business Mailing Address
First Line	:	1053 SAW MILL RIVER RD STE LL1
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-361-1835
Fax Number	:	914-351-2316

Provider Business Practice Location Address
First Line	:	1053 SAW MILL RIVER RD STE LL1
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-361-1835
Fax Number	:	914-351-2316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	10/09/2018

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