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NPI Code Detail

MEDICARE: DR. AMY W JONES M.D.

MEDICARE: DR. AMY W JONES M.D.
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
1207R00000XInternal Medicine Physician224201NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316929086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY W JONES M.D.
Provider Business Mailing Address
First Line : 5599 TRUSCOTT TER
Second Line :
City : LAKEVIEW
State : NY
Zip : 14085-9748
Country : US
Telephone Number : 716-627-2934
Fax Number : 716-627-2934
Provider Business Practice Location Address
First Line : 4855 CAMP RD
Second Line : SUITE 100
City : HAMBURG
State : NY
Zip : 14075-2600
Country : US
Telephone Number : 716-646-1084
Fax Number : 716-646-0763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 12/29/2009

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