Provider Demographics
NPI:1902886815
Name:SCHLOSSER, JONATHAN (DO)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:222 ROUTE 59
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5204
Mailing Address - Country:US
Mailing Address - Phone:845-357-3838
Mailing Address - Fax:845-357-8930
Practice Address - Street 1:222 ROUTE 59
Practice Address - Street 2:SUITE 201
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5204
Practice Address - Country:US
Practice Address - Phone:845-357-3838
Practice Address - Fax:845-357-8930
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY229600207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism