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NPI Code Detail

MEDICARE: DR. JABARI TAHIR JONES M.D.

MEDICARE: DR. JABARI TAHIR JONES M.D.
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
12084P0800XPsychiatry Physician270204NY

General Provider Information

NPI Number : 1922230457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JABARI TAHIR JONES M.D.
Provider Business Mailing Address
First Line : 234 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5589
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 234 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5589
Country : US
Telephone Number : 718-579-5006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2009
Last Update Date : 12/09/2021

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