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NPI Code Detail

MEDICARE: DR. JONATHAN S BLOCK D.V.M

MEDICARE: DR. JONATHAN S BLOCK D.V.M
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
1174M00000XVeterinarian012129NY

General Provider Information

NPI Number : 1952737140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN S BLOCK D.V.M
Provider Business Mailing Address
First Line : 77 WORTH ST
Second Line : 1ST FLOOR
City : NEW YORK
State : NY
Zip : 10013-3411
Country : US
Telephone Number : 212-257-6900
Fax Number :
Provider Business Practice Location Address
First Line : 77 WORTH ST
Second Line : 1ST FLOOR
City : NEW YORK
State : NY
Zip : 10013-3411
Country : US
Telephone Number : 212-257-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2013
Last Update Date : 09/19/2013

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