Basic Information
| Provider Information | |||||||||
| NPI: | 1780863415 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JONATHAN VAPNEK MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 229 E 79TH ST | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100750866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127179500 | ||||||||
| FaxNumber: | 2127179503 | ||||||||
| Practice Location | |||||||||
| Address1: | 229 E 79TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100750866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127179500 | ||||||||
| FaxNumber: | 2127179503 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2007 | ||||||||
| LastUpdateDate: | 03/16/2016 | ||||||||
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| AuthorizedOfficialLastName: | VAPNEK | ||||||||
| AuthorizedOfficialFirstName: | JONATHAN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2127179500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology |
No ID Information.