Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 200709 | NY |
NPI | 1033146642 |
---|---|
Provider Name | Dr. Carolyn Evelyn Jones |
First Address | Rochester, NY 14642-8410 |
Second Address | Rochester, NY 14642-8410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 01/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02355571 | (05) | NY |
H73708 | (02) |