National Provider Identifier

Paul Emerson Jones, PAC

Paul Emerson Jones, PAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-4011.

NPI 1013008457Ithaca, NYPhysician Assistant

Profile Overview

NPI
1013008457
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 28, 2006
Last Updated
March 07, 2023

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Phone: (607) 274-4011

Mailing Address

  • 1253 Arrowhead Beach RD
  • Dresden, NY 14441-9701

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1013008457
Entity Type
Individual
Last Name
Jones
First Name
Paul
Middle Name
Emerson
Credential
PAC
Mailing Street Address
1253 Arrowhead Beach RD
Mailing City
Dresden
Mailing State
NY
Mailing ZIP Code
14441-9701
Mailing Country
US
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1342
Practice Country
US
Practice Phone
(607) 274-4011
Enumeration Date
September 28, 2006
Last Updated
March 07, 2023
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
006544-1 (NY, State License), 1017380 (Nccpa)