Dejesus, Courtney

Dejesus, Courtney is an individual health care provider with primary practice located at 5 Care Ln , Saratoga Springs NY 12866-8623. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Dejesus, Courtney can be contacted via phone (518) 489-2663.

Contact Information

Primary practice address
5 Care Ln Saratoga Springs NY 12866-8623
Phone: (518) 489-2663
Fax: (518) 689-3881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014802 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 014802 New York

Profile Details

NPI number 1487940003
LBN Legal business name Dejesus, Courtney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Dec 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487940003 NPPES
New York MEDICAID 03500869
New York Other 014802

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