Provider Demographics
NPI:1083617534
Name:WARMAN, JONATHAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:I
Last Name:WARMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:132 E 76TH ST
Mailing Address - Street 2:OFC 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2850
Mailing Address - Country:US
Mailing Address - Phone:212-988-2900
Mailing Address - Fax:877-686-6589
Practice Address - Street 1:132 E 76TH ST
Practice Address - Street 2:OFC 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2850
Practice Address - Country:US
Practice Address - Phone:212-988-2900
Practice Address - Fax:212-879-4912
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-28
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY211868207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY050AB1Medicare PIN
NYH58108Medicare UPIN