Most Relevant Information
Provider Data
| NPI Number: | 1003305665 |
| Provider Name: | JONATHAN DOV HOCHBAUM |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2018 |
| Last Updated: | 12/12/2019 |
Provider Practice Location
225 DOLSON AVE STE 202
MIDDLETOWN
NY
109406570
Practice Location Phone/Fax
| Phone: | 8453431486 |
| Fax: |
Provider Mailing Location
686 EVERGREEN DR
WEST HEMPSTEAD
NY
115523407
Provider Mailing Phone/Fax
| Phone: | 5169935178 |
| Fax: |