Provider Demographics
NPI:1154580439
Name:MAU, JONATHAN K (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:K
Last Name:MAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:972 BRUSH HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1740
Mailing Address - Country:US
Mailing Address - Phone:516-876-5555
Mailing Address - Fax:516-876-1246
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3816
Practice Address - Country:US
Practice Address - Phone:516-562-3090
Practice Address - Fax:516-562-3680
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2021-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY243992207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine