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NPI Code Detail

MEDICARE: MS. KIRSTIN JONES RPA-C

MEDICARE: MS. KIRSTIN JONES RPA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant014969NY

General Provider Information

NPI Number : 1750660007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIRSTIN JONES RPA-C
Provider Business Mailing Address
First Line : 307 E 101ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6406
Country : US
Telephone Number : 347-268-0900
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-2089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 08/04/2011

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Directions to “ MS. KIRSTIN JONES RPA-C” Practice Location

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