Individual
BRANDON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4893 TRANSIT RD, DEPEW, NY 14043-4698
(716) 608-7040
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(866) 853-9551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026360-01
NY
Other
Enumeration date
04/02/2021
Last updated
05/13/2021
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