IndividualActive
Jonathan Logan, M.D.
NPI 1609871573 · Allergy Physician · Canandaigua, NY
Provider details
- NPI number
- 1609871573
- Entity type
- Individual
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 089645 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
201 Parrish St
Canandaigua, NY 14424-1727
Phone: (585) 394-6070
Approximate (ZIP-level) locationGet directions
Mailing address
201 Parrish St
Canandaigua, NY 14424-1727
Registry dates
- Enumerated
- 2005-06-16
- Last updated
- 2010-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.