Healthcare Provider Details

I. General information

NPI: 1598473118
Provider Name (Legal Business Name): MRS. VONDA CONEY-JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOUTH AVE
ROCHESTER NY
14620-2782
US

IV. Provider business mailing address

321 EDGECREEK TRL
ROCHESTER NY
14609-1873
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-6269
  • Fax:
Mailing address:
  • Phone: 585-230-6113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number565560
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: