MARK DE JESUS, MS
Specialist
Active
Individual
NPI: 1336690494
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Specialist | 174400000X | Yes | - |
Frequently Asked Questions
NPI 1336690494 is the National Provider Identifier for MARK DE JESUS, MS, a Specialist provider located in Elmhurst, NY. This NPI was enumerated on October 24, 2016.
MARK DE JESUS, MS practices at 8611 WHITNEY AVE, 3M, Elmhurst, NY 11373.
Quick Facts
- NPI
- 1336690494
- Type
- Individual
- Enumerated
- Oct 24, 2016
- Last Updated
- Oct 24, 2016
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