MARK VINCENT DE JESUS

NEW YORK, NY
NPI1326553041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2017-12-04
Last Update Date2017-12-04
Business Address
MARK VINCENT DE JESUS PA-C
100 E 77TH ST
NEW YORK, NY 10075-1850
Phone number: 212-434-2000
Mailing Address
MARK VINCENT DE JESUS PA-C
2543 HERING AVE
BRONX, NY 10469-5301
Phone number: 718-798-6592