Provider Demographics
NPI:1396548327
Name:JONATHAN HAROUNIAN MD PLLC
Entity type:Organization
Organization Name:JONATHAN HAROUNIAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-724-5941
Mailing Address - Street 1:1000 NORTHERN BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5348
Mailing Address - Country:US
Mailing Address - Phone:516-724-5941
Mailing Address - Fax:718-506-9702
Practice Address - Street 1:1000 NORTHERN BLVD STE 220
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5348
Practice Address - Country:US
Practice Address - Phone:516-724-5941
Practice Address - Fax:718-506-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty