Basic Information
| Provider Information | |||||||||
| NPI: | 1811554678 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OHEBSION MEDICAL SERVICES PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1662 OLD COUNTRY RD UNIT 68 | ||||||||
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| City: | PLAINVIEW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 118037003 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 134 GREAT EAST NECK RD | ||||||||
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| City: | WEST BABYLON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117048027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314224800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2019 | ||||||||
| LastUpdateDate: | 05/28/2019 | ||||||||
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| AuthorizedOfficialLastName: | OHEBSION | ||||||||
| AuthorizedOfficialFirstName: | JONATHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7186666406 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.