Jonathon David Powell

Individual provider Independent Duty Corpsman · NPI 1346785136

Jonathon David Powell is an Independent Duty Corpsman in Springfield Gardens, New York. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since: 2017

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Practice location Address checks out

18524 140th Ave
Springfield Gardens, NY 11413-2614
Phone: (860) 694-2876

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary)	Taxonomy 1710I1002X

Record details

NPI number	1346785136
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	January 3, 2017
Last updated in NPPES	January 3, 2017
Mailing address	18524 140th Ave, Springfield Gardens, NY 11413-2614