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NPI Code Detail

MEDICARE: VINCI SAMUEL JONES MD

MEDICARE: VINCI SAMUEL JONES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery PhysicianMD439278PA
22086S0120XPediatric Surgery Physician267432NY

General Provider Information

NPI Number : 1205149242
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCI SAMUEL JONES MD
Provider Business Mailing Address
First Line : 1616 W END AVE UNIT 1803
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-3510
Country : US
Telephone Number : 412-616-8948
Fax Number :
Provider Business Practice Location Address
First Line : 655 DEER PARK AVE
Second Line :
City : BABYLON
State : NY
Zip : 11702-1314
Country : US
Telephone Number : 631-321-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2010
Last Update Date : 05/15/2026

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