Individual
AMANDA R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 ROCKEFELLER RD, DELMAR, NY 12054-2221
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(872) 231-3162
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
027435
NY
363AM0700X
Medical Physician Assistant
PA1546
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07911562
—
NY
Enumeration date
09/23/2014
Last updated
11/14/2025
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