Provider Demographics
NPI:1316929086
Name:JONES, AMY W (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:W
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5599 TRUSCOTT TER
Mailing Address - Street 2:
Mailing Address - City:LAKEVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:14085-9748
Mailing Address - Country:US
Mailing Address - Phone:716-627-2934
Mailing Address - Fax:716-627-2934
Practice Address - Street 1:4855 CAMP RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-2600
Practice Address - Country:US
Practice Address - Phone:716-646-1084
Practice Address - Fax:716-646-0763
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY224201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02258726Medicaid
NYJ400006687Medicare PIN
NYH62453Medicare UPIN
NY02258726Medicaid