Doctor Name: | RICHARD E JONES |
NPI Number: | 1043238181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | N004241-1 |
Business Practice Address: | 119 Lawrence St Saratoga Springs, NY - 128661346 |
Business Phone Number: | 5185847361 |
Business Fax Number: | 5185847930 |
Mailing Address: | 119 Lawrence Street, SARATOGA SPRINGS |
State: | NY |
Postal Code: | 12866 |
Phone Number: | 5185847361 |
Fax Number: | 5185847930 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | N004241-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |