Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 138757 | NY |
N | 207RR0500X | Rheumatology | 138757 | NY |
N | 2080P0201X | Pediatric Allergist | 138757 | NY |
NPI | 1063461432 |
---|---|
Provider Name | Dr. Douglas H Jones |
First Address | Rochester, NY 14607-4039 |
Second Address | Rochester, NY 14607-4039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 27/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03010976 | (05) | NY |
C58185 | (02) | NY |
P00026205 | RAILROAD MEDICARE (01) | NY |