Gona, Jayakumari

Gona, Jayakumari is an individual health care provider with primary practice located at 64 Davison Ct , Locport NY 14094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as her primary health care specialty. Gona, Jayakumari can be contacted via phone (716) 433-3572.

Contact Information

Primary practice address
64 Davison Ct Locport NY 14094
Fax: (716) 829-2348
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X 135032 New York

Profile Details

NPI number 1922064799
LBN Legal business name Gona, Jayakumari
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Nov 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922064799 NPPES
New York MEDICAID 01789582

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