Basic Information
| Provider Information | |||||||||
| NPI: | 1992958466 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARONIA | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2130 82ND ST | ||||||||
| Address2: | APT. 3 | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112142510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183311103 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 E 77TH ST | ||||||||
| Address2: | LENOX HILL HOSPITAL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100751850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124342140 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2008 | ||||||||
| LastUpdateDate: | 09/07/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 249861-1 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.