Provider Demographics
NPI:1023007796
Name:CLYMAN, JONATHAN (PHD CGC)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:CLYMAN
Suffix:
Gender:M
Credentials:PHD CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 READE PLACE
Mailing Address - Street 2:DYSON CANCER CENTER
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:845-483-6667
Mailing Address - Fax:845-790-3128
Practice Address - Street 1:45 READE PLACE
Practice Address - Street 2:DYSON CANCER CENTER
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-483-6667
Practice Address - Fax:845-790-3128
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS