MITCHEL DE JESUS

HEWLETT, NY
NPI1780062539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  035355)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
MR. MITCHEL DE JESUS
319 DAUB AVE
HEWLETT, NY 11557-1140
Phone number: 516-668-3903
Mailing Address
MR. MITCHEL DE JESUS
319 DAUB AVE
HEWLETT, NY 11557-1140
Phone number: 516-668-3903