Provider Demographics
NPI:1821443201
Name:JONES, SHARIL
Entity Type:Individual
Prefix:
First Name:SHARIL
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 RUTGERS SLIP
Mailing Address - Street 2:16L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7837
Mailing Address - Country:US
Mailing Address - Phone:917-557-5723
Mailing Address - Fax:
Practice Address - Street 1:82 RUTGERS SLIP
Practice Address - Street 2:16L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7837
Practice Address - Country:US
Practice Address - Phone:917-557-5723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist