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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN DALE HOOPER, MED

Active Sole Proprietor

JONATHAN DALE HOOPER, MED is a 2255R0406X healthcare provider located in NEW YORK, New York. NPI 1912557836 is currently active in the NPPES registry. Verify at CMS.

2255R0406X · NEW YORK, NY

Registration Details

NPI Number
1912557836
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2019 (6.9349979221019 yrs)
Last Updated
Sep 12, 2019
License
996250151 (NY)
Sole Proprietor
Yes

Practice Information

Address
322 E 90TH ST APT 4B
NEW YORK, NY, 101284229
Browse NY providers · Browse ZIP 10128
Phone
7314397271
Primary Specialty
2255R0406X
2255R0406X

Other 2255R0406X Providers in NEW YORK, NY

Name Credential NPI
MRS. REGINA ANN D'AMBROSIO RIZZO 1174832349
DANIELLE ROTH 1275375925
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.