Individual
DR. EVAN C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 STONY BROOK RD STE 200, STONY BROOK, NY 11790-2215
(631) 444-4272
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4200
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
235279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K4781
EMPIRE BC/BS
NY
01
—
7024594
AETNA
NY
Enumeration date
06/06/2006
Last updated
06/13/2022
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