Provider Demographics
NPI:1003154642
Name:JONAS, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:JONAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843
Mailing Address - Street 2:HSC L-3, RM. 113A
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-0653
Mailing Address - Country:US
Mailing Address - Phone:631-473-7228
Mailing Address - Fax:631-473-5005
Practice Address - Street 1:DEPT PREV MED STONY BROOK UNIVERSITY
Practice Address - Street 2:HSC L-3, RM. 113A
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-2147
Practice Address - Fax:631-473-5005
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0907352083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine