Umberto J. Dejesus PA

NPI 1093724973 - Physician Assistant - 363A00000X

NPI Details
NPI 1093724973
Gender Male
Enumeration Date 08/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
BRONX NY, 10457-7606, US
Phone (718) 960-1400
Business Location
330 E 26TH ST APT 11B
NEW YORK NY, 10010-1910, US
Phone (212) 679-8853
Fax (212) 679-1666
Taxonomy Code 363A00000X
License State New York
License Number 006533-1
Remove 1093724973 NPI Number

According to our database, Mr. Umberto J. Dejesus PA NPI is 1093724973, taxonomy code is 363A00000X and license number is 006533-1, license state is located at New York. Umberto J. Dejesus PA physically located at 1650 Grand Concourse, Bronx NY, 10457-7606. NPI Number Umberto J. Dejesus PA has the Individual type.

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1093724973 NPI number is provided on an as is basis without warranty of any kind. 1093724973 is maintained by the National Plan & Provider Enumeration System. The contents of Umberto J. Dejesus PA are for informational purposes only.