JEFFREY DECEGLIA

BROOKLYN, NY
NPI1396890646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  003506)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
-- JEFFREY DECEGLIA PA
339 HICKS ST
BROOKLYN, NY 11201-5509
Phone number: 718-780-1961
Mailing Address
-- JEFFREY DECEGLIA PA
407 AIRPORT EXE PARK
NANUET, NY 10954
Phone number: