Provider Demographics
NPI:1013210186
Name:JONATHAN Z. CHARNEY M.D., P.C.
Entity type:Organization
Organization Name:JONATHAN Z. CHARNEY M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:CHARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-831-2886
Mailing Address - Street 1:1111 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1234
Mailing Address - Country:US
Mailing Address - Phone:212-831-2886
Mailing Address - Fax:212-289-8677
Practice Address - Street 1:1111 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1234
Practice Address - Country:US
Practice Address - Phone:212-831-2886
Practice Address - Fax:212-289-8677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106790174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty