Individual
TYA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 HINCHEY RD, ROCHESTER, NY 14624-2930
(585) 467-2230
Mailing address
575 LAKE AVE APT 19, ROCHESTER, NY 14613-2624
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-7508
NY
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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