Provider Demographics
NPI:1427487875
Name:EINHORN, JONATHAN (DPT)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:EINHORN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8415 4TH AVE
Mailing Address - Street 2:SUITE A17
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4654
Mailing Address - Country:US
Mailing Address - Phone:718-921-9721
Mailing Address - Fax:718-921-9349
Practice Address - Street 1:8415 4TH AVE
Practice Address - Street 2:SUITE A17
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-4654
Practice Address - Country:US
Practice Address - Phone:718-921-9721
Practice Address - Fax:718-921-9349
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist