Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN LOGAN, M.D.
Active Sole ProprietorDR. JONATHAN LOGAN, M.D. is a Allergy healthcare provider located in CANANDAIGUA, New York. NPI 1609871573 is currently active in the NPPES registry. Verify at CMS.
Allergy · CANANDAIGUA, NY
Registration Details
- NPI Number
- 1609871573
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.189058546709 yrs)
- Last Updated
- Jan 26, 2010
- License
-
089645 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 PARRISH STCANANDAIGUA, NY, 144241727Browse NY providers · Browse ZIP 14424
- Phone
- 5853946070
- Primary Specialty
-
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.