Organization
SJ MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JONES II M.D. (PRESIDENT /ATTENDING PHYSICIAN)
(917) 447-4922
Entity
Organization
Contact information
Practice address
543 W 141ST ST, GROUND FLOOR, NEW YORK, NY 10031-7026
(917) 447-4922
Mailing address
1760 2ND AVE, STE. # 22C, NEW YORK, NY 10031
(917) 447-4922
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
217144
NY
Other
Enumeration date
10/12/2015
Last updated
07/14/2016
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