Individual
MR. TODD WILLIAM JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8881 STATE ROUTE 97, CALLICOON, NY 12723-5052
(845) 887-5693
(845) 887-5694
Mailing address
PO BOX 942, FORT DRUM, NY 13602-0942
(706) 570-2614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
014879
NY
Other
Enumeration date
05/04/2011
Last updated
11/27/2023
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