Provider Demographics
NPI:1164682639
Name:LAMPERT, JONATHAN (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:LAMPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JONATHAN
Other - Middle Name:L
Other - Last Name:LAMPERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PLLC
Mailing Address - Street 1:50 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4246
Mailing Address - Country:US
Mailing Address - Phone:212-288-4433
Mailing Address - Fax:212-452-1860
Practice Address - Street 1:50 E 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4246
Practice Address - Country:US
Practice Address - Phone:212-288-4433
Practice Address - Fax:212-452-1860
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1460882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry