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NPI Code Detail

MEDICARE: DR. DONIQUE DAVID JONES MD

MEDICARE:  DR. DONIQUE DAVID 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
1207Q00000XFamily Medicine Physician300536NY

General Provider Information

NPI Number : 1639531122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONIQUE DAVID JONES MD
Provider Business Mailing Address
First Line : 1345 RXR PLZ
Second Line :
City : UNIONDALE
State : NY
Zip : 11556-1301
Country : US
Telephone Number : 516-453-0435
Fax Number :
Provider Business Practice Location Address
First Line : 2146 BARTOW AVE
Second Line :
City : BRONX
State : NY
Zip : 10475-4629
Country : US
Telephone Number : 646-346-7927
Fax Number : 646-346-7926
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 08/23/2019

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Directions to “ DR. DONIQUE DAVID JONES MD” Practice Location

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