Provider Demographics
NPI:1235452269
Name:JONES, SANYALE (MPH,PHD)
Entity Type:Individual
Prefix:DR
First Name:SANYALE
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:MPH,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 23RD ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2837
Mailing Address - Country:US
Mailing Address - Phone:917-864-1233
Mailing Address - Fax:
Practice Address - Street 1:2425 23RD ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2837
Practice Address - Country:US
Practice Address - Phone:917-864-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist