Individual
BRIAN M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
4005 W GILGO BCH, W GILGO BEACH, NY 11702-4615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014717
NY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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