Mr Mitchel De Jesus, | |
319 Daub Ave, Hewlett, NY 11557-1140 | |
(516) 668-3903 | |
Not Available |
Full Name | Mr Mitchel De Jesus |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 319 Daub Ave, Hewlett, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780062539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 035355 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mitchel De Jesus, 319 Daub Ave, Hewlett, NY 11557-1140 Ph: (516) 668-3903 | Mr Mitchel De Jesus, 319 Daub Ave, Hewlett, NY 11557-1140 Ph: (516) 668-3903 |
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