Provider Demographics
NPI:1467759308
Name:JONES, ARMEISHA D (DC)
Entity Type:Individual
Prefix:DR
First Name:ARMEISHA
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ARMEISHA
Other - Middle Name:D
Other - Last Name:GRANDBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:787 VAN SICLEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-7804
Mailing Address - Country:US
Mailing Address - Phone:347-390-8727
Mailing Address - Fax:
Practice Address - Street 1:787 VAN SICLEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-7804
Practice Address - Country:US
Practice Address - Phone:347-390-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03334618Medicaid
NYA400047639Medicare UPIN