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NPI Code Detail

MEDICARE: MR. JONATHAN L ZEVON RPH

MEDICARE:  MR. JONATHAN L ZEVON  RPH
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
1183500000XPharmacist36288NY

General Provider Information

NPI Number : 1760465561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN L ZEVON RPH
Provider Business Mailing Address
First Line : 5507 GLENWOOD RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-1113
Country : US
Telephone Number : 718-251-6444
Fax Number : 718-531-2294
Provider Business Practice Location Address
First Line : 5507 GLENWOOD RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-1113
Country : US
Telephone Number : 718-251-6444
Fax Number : 718-531-2294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 07/08/2007

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Directions to “ MR. JONATHAN L ZEVON RPH” Practice Location

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