De Jesus, Michael

De Jesus, Michael is an sole proprietor health care provider with primary practice located at 3011 Lafayette Ave , Bronx NY 10465-2309. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is his primary health care specialty. De Jesus, Michael can be contacted via phone (347) 851-2719.

Contact Information

Primary practice address
3011 Lafayette Ave Bronx NY 10465-2309
Phone: (347) 851-2719
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1194384651
LBN Legal business name De Jesus, Michael
Credentials MSED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - about 6 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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