Healthcare Provider Details

I. General information

NPI: 1801467238
Provider Name (Legal Business Name): MONICA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 1ST AVE
NEW YORK NY
10029-3321
US

IV. Provider business mailing address

1280 LEXINGTON AVE FRNT 2
NEW YORK NY
10028-2136
US

V. Phone/Fax

Practice location:
  • Phone: 917-983-5476
  • Fax: 504-579-8715
Mailing address:
  • Phone: 917-983-5476
  • Fax: 504-579-8715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: