MR. MICHAEL DE JESUS, MSED.

Early Intervention Provider Agency

Active Individual
NPI: 1194384651

Practice Address

3011 LAFAYETTE AVE
Bronx, NY 10465

Phone: (347) 851-2719

Specialties

Specialty Code Primary License
Specialist 174400000X No -
Early Intervention Provider Agency 252Y00000X Yes -

Frequently Asked Questions

NPI 1194384651 is the National Provider Identifier for MR. MICHAEL DE JESUS, MSED., a Early Intervention Provider Agency provider located in Bronx, NY. This NPI was enumerated on June 10, 2019.
MR. MICHAEL DE JESUS, MSED. practices at 3011 LAFAYETTE AVE, Bronx, NY 10465.

Quick Facts

NPI
1194384651
Type
Individual
Enumerated
Jun 10, 2019
Last Updated
Jun 10, 2019

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