Provider Demographics
NPI:1790869949
Name:JONES, JEANINE MARIE (MPT)
Entity Type:Individual
Prefix:MS
First Name:JEANINE
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 YONKERS AVE
Mailing Address - Street 2:STE 109
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3060
Mailing Address - Country:US
Mailing Address - Phone:914-776-7310
Mailing Address - Fax:914-776-7566
Practice Address - Street 1:955 YONKERS AVE
Practice Address - Street 2:STE 109
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3060
Practice Address - Country:US
Practice Address - Phone:914-776-7310
Practice Address - Fax:914-776-7566
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY211826POtherHIP OF NEW YORK
NY694844OtherMANAGED PHYSICAL NETWORK
NY41454270OtherMVP
NYQ30A92OtherEMPIRE BLUE CROSS & BLUE
NY30201OtherORTHONET
NY000000106035OtherGHI - HMO
NY7659879OtherAETNA PPO / POS
NY1321869OtherAETNA HMO
NYP3623168OtherOXFORD HEALTH PLANS
NYQ30A92OtherEMPIRE BLUE CROSS & BLUE