Ashley Dejesus

NPI #1174079164 in Brentwood, New York

Provider Information

NPI Number: 1174079164
Entity Type: Individual
Name: Ashley Dejesus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 184 HANCOCK ST
City: Brentwood
State: New York
ZIP Code: 11717-2827
Phone: (631) 691-9203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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