Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 299209 | NY |
NPI | 1013395995 |
---|---|
Provider Name | Dr. Heather Jones |
First Address | Brooklyn, NY 11209-3206 |
Second Address | Brooklyn, NY 11209-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2015 |
Last Update Date | 11/09/2019 |