Provider Demographics
NPI:1083969257
Name:JONES, NATIKA LOVE (MSED)
Entity Type:Individual
Prefix:MS
First Name:NATIKA
Middle Name:LOVE
Last Name:JONES
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LOCUST AVE
Mailing Address - Street 2:APT 1F
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7331
Mailing Address - Country:US
Mailing Address - Phone:914-563-9717
Mailing Address - Fax:
Practice Address - Street 1:16 LOCUST AVE
Practice Address - Street 2:APT 1F
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7331
Practice Address - Country:US
Practice Address - Phone:914-563-9717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY877838174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist