JONATHAN EDOM

RONKONKOMA, NY
NPI1992081145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  646242-1)
Enumeration Date2011-11-01
Last Update Date2011-11-01
Business Address
-- JONATHAN EDOM RN
19 SCHOOL ST
RONKONKOMA, NY 11779-2209
Phone number: 631-721-3860
Mailing Address
-- JONATHAN EDOM RN
19 SCHOOL ST
RONKONKOMA, NY 11779-2209
Phone number: 631-721-3860
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