De Jesus, Mark Vincent

De Jesus, Mark Vincent is an individual health care provider with primary practice located at 100 E 77Th St , New York NY 10075-1850. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. De Jesus, Mark Vincent can be contacted via phone (212) 434-2000.

Contact Information

Primary practice address
100 E 77Th St New York NY 10075-1850
Phone: (212) 434-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1326553041
LBN Legal business name De Jesus, Mark Vincent
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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