Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jonathan Itzchakov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376974261

Mr. Jonathan Itzchakov is a Student in an Organized Health Care Education/Training Program in Ridge, New York. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

35 Eason Dr
Ridge, NY 11961-3111
Phone: (631) 345-6501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376974261
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 3, 2013
Last updated in NPPESDecember 3, 2013
Mailing address14431 70th Ave, Flushing, NY 11367-1713

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