Provider Demographics
NPI:1932837770
Name:JONES, EDWARD (LP)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GARDINERS LN
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-1711
Mailing Address - Country:US
Mailing Address - Phone:212-228-4222
Mailing Address - Fax:
Practice Address - Street 1:7 GARDINERS LN
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-1711
Practice Address - Country:US
Practice Address - Phone:212-228-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001139102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001139OtherNEW YORK STATE