Provider Demographics
NPI:1659640258
Name:YORK, JONATHAN LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:LEIGH
Last Name:YORK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 COVENTRY CT
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1034
Mailing Address - Country:US
Mailing Address - Phone:914-621-6275
Mailing Address - Fax:
Practice Address - Street 1:4 COVENTRY CT
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1034
Practice Address - Country:US
Practice Address - Phone:914-621-6275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164590207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine