Individual
DIANE KEATING JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FAMILY PRACTICE CLINIC, FORT DRUM, NY 13602-5438
(315) 772-0859
Mailing address
1429 GILL ST, 438 APT A, WATERTOWN, NY 13601-2900
(315) 786-1404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233645-1
NY
Other
Enumeration date
12/29/2005
Last updated
11/01/2016
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