JAKE DEFONZO

BROOKLYN, NY
NPI1013502459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  026221-01)
Enumeration Date2021-03-08
Last Update Date2021-03-08
Business Address
JAKE DEFONZO PA-C
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 718-613-4000
Mailing Address
JAKE DEFONZO PA-C
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 718-613-4000
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