Individual
CAROLYN M JONES ASSINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4484
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
120910
NY
2083X0100X
Occupational Medicine Physician
Primary
120910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000414956001
HEALTHNOW/BLUE SHIELD
NY
01
—
10086847
CDPHP
NY
01
—
11525105
CAQH
—
Enumeration date
01/20/2006
Last updated
05/28/2015
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