Provider Demographics
NPI:1851614044
Name:JONES, RONALD R (BS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:R
Last Name:JONES
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HURLBUT ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-2110
Mailing Address - Country:US
Mailing Address - Phone:518-455-9109
Mailing Address - Fax:
Practice Address - Street 1:5 HURLBUT ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-2110
Practice Address - Country:US
Practice Address - Phone:518-455-9109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY13798Medicare PIN