Healthcare Provider Details

I. General information

NPI: 1609017763
Provider Name (Legal Business Name): BETH JAN JONES-POST RN, MT, ASHRM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 03/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 FOREST RD
MONROE NY
10950-2923
US

IV. Provider business mailing address

49 FOREST RD
MONROE NY
10950-2923
US

V. Phone/Fax

Practice location:
  • Phone: 845-782-3242
  • Fax: 845-774-1623
Mailing address:
  • Phone: 845-782-3242
  • Fax: 845-774-1623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number455160
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number4774
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: