Provider Demographics
NPI:1376676882
Name:JEFFREY S. ARONOWITZ, M.D.
Entity Type:Organization
Organization Name:JEFFREY S. ARONOWITZ, M.D.
Other - Org Name:NORTHERN NEW YORK BEHAVIORAL HEALTH ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARONOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-786-0190
Mailing Address - Street 1:1304 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4500
Mailing Address - Country:US
Mailing Address - Phone:315-786-0190
Mailing Address - Fax:315-786-0190
Practice Address - Street 1:1304 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4500
Practice Address - Country:US
Practice Address - Phone:315-786-0190
Practice Address - Fax:315-786-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1956662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB5033Medicare ID - Type UnspecifiedID FOR UMD
NYF89681Medicare UPIN
NYAA0246Medicare ID - Type UnspecifiedGROUP UMD ID