Provider Demographics
NPI:1922000397
Name:CURTIN, JONATHAN PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:PATRICK
Last Name:CURTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BROADWAY STE 6E
Mailing Address - Street 2:RIVERVIEW CENTER
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-2726
Mailing Address - Country:US
Mailing Address - Phone:518-474-8161
Mailing Address - Fax:518-473-6708
Practice Address - Street 1:150 BROADWAY STE 6E
Practice Address - Street 2:RIVERVIEW CENTER
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-2726
Practice Address - Country:US
Practice Address - Phone:518-474-8161
Practice Address - Fax:518-473-6708
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01593677Medicaid
NYF96061Medicare UPIN
NY01593677Medicaid