Individual
MARIO JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S MANNING BLVD, ALBANY, NY 12208-1733
(518) 221-6439
Mailing address
350 S MANNING BLVD, ALBANY, NY 12208-1733
(518) 221-6439
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
296704
NY
251J00000X
Nursing Care Agency
296704
NY
302R00000X
Health Maintenance Organization
296704
NY
332U00000X
Home Delivered Meals
296704
NY
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
Primary
296704
NY
Other
Enumeration date
12/23/2014
Last updated
10/03/2017
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