Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 263665 | NY |
N | 111NI0900X | Internist | 263665 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 263665 | NY |
N | 207RI0011X | Interventional Cardiology | 263665 | NY |
NPI | 1104052570 |
---|---|
Provider Name | Dr. Matthew Oneil Jones |
First Address | Brooklyn, NY 11217-2983 |
Second Address | Brooklyn, NY 11217-2983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 01/06/2016 |