Provider Demographics
NPI:1194939785
Name:JONATHAN S THURM DPMPC
Entity type:Organization
Organization Name:JONATHAN S THURM DPMPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:THURM
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-449-7698
Mailing Address - Street 1:532 NEPTUNE AVE
Mailing Address - Street 2:#203
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4010
Mailing Address - Country:US
Mailing Address - Phone:718-449-7698
Mailing Address - Fax:
Practice Address - Street 1:532 NEPTUNE AVE
Practice Address - Street 2:#203
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4010
Practice Address - Country:US
Practice Address - Phone:718-449-7698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004603213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty