Provider Demographics
NPI:1699772913
Name:JONES, CORNELIE M (MD)
Entity type:Individual
Prefix:DR
First Name:CORNELIE
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:3900 N BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1842
Practice Address - Country:US
Practice Address - Phone:716-648-2770
Practice Address - Fax:716-648-1552
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2024-09-25
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Provider Licenses
StateLicense IDTaxonomies
NY157542207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE15448Medicare UPIN
NYB45811Medicare PIN