Provider Demographics
NPI:1033146642
Name:JONES, CAROLYN EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:EVELYN
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX SURG
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-8410
Mailing Address - Country:US
Mailing Address - Phone:585-275-1509
Mailing Address - Fax:585-276-2356
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX SURG
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-8410
Practice Address - Country:US
Practice Address - Phone:585-275-1509
Practice Address - Fax:585-276-2356
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-07-05
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Provider Licenses
StateLicense IDTaxonomies
NY200709208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02355571Medicaid
H73708Medicare UPIN
NY02355571Medicaid