Basic Information
| Provider Information | |||||||||
| NPI: | 1407056005 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | CHANDRA | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 NEW SCOTLAND AVE | ||||||||
| Address2: | MC 74 2ND FLOOR | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122083555 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182625013 | ||||||||
| FaxNumber: | 5182622675 | ||||||||
| Practice Location | |||||||||
| Address1: | 16 NEW SCOTLAND AVE | ||||||||
| Address2: | MC 74 2ND FLOOR | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122083555 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182625013 | ||||||||
| FaxNumber: | 5182622675 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2007 | ||||||||
| LastUpdateDate: | 02/15/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 259973 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VM0101X | 259973 | NY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
No ID Information.