Provider Demographics
NPI:1477852077
Name:JONES, BILLY EMANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:EMANUEL
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 W 146TH ST
Mailing Address - Street 2:APT. 1 SOUTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4758
Mailing Address - Country:US
Mailing Address - Phone:212-234-5649
Mailing Address - Fax:212-926-6914
Practice Address - Street 1:423 EAST 23RD ST.
Practice Address - Street 2:160605 VA MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5011
Practice Address - Country:US
Practice Address - Phone:917-328-5616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1031442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry