Healthcare Provider Details

I. General information

NPI: 1447810841
Provider Name (Legal Business Name): DANIEL LAWRENCE JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CADMAN PLZ W FL 18
BROOKLYN NY
11201-3226
US

IV. Provider business mailing address

125 KENNEDY DR STE 400
HAUPPAUGE NY
11788-4017
US

V. Phone/Fax

Practice location:
  • Phone: 929-210-6000
  • Fax: 929-210-6001
Mailing address:
  • Phone: 855-295-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number330243
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: