Provider Demographics
NPI:1871980441
Name:JONES, KAREN L
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:JONES-HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 E 169TH ST
Mailing Address - Street 2:#3C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2616
Mailing Address - Country:US
Mailing Address - Phone:646-764-1344
Mailing Address - Fax:
Practice Address - Street 1:530 E 169TH ST
Practice Address - Street 2:#3C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2616
Practice Address - Country:US
Practice Address - Phone:646-764-1344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency