Healthcare Provider Details

I. General information

NPI: 1225861057
Provider Name (Legal Business Name): RLP JONES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6045 TRANSIT RD # 101102
EAST AMHERST NY
14051-1803
US

IV. Provider business mailing address

6045 TRANSIT RD # 101102
EAST AMHERST NY
14051-1803
US

V. Phone/Fax

Practice location:
  • Phone: 716-310-2910
  • Fax:
Mailing address:
  • Phone: 716-310-2910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY JONES
Title or Position: MANAGING PARTNER
Credential: MS, CSCS
Phone: 315-521-7418