Individual provider · Type 1 NPI

Mark Vincent De Jesus, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1326553041 Active

Practice location

100 E 77th St
New York, NY 10075-1850

Call (212) 434-2000 Map

Mailing address

2543 Hering Ave
Bronx, NY 10469-5301

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1326553041

Mark Vincent De Jesus, PA-C's National Provider Identifier is 1326553041, issued on Dec 4, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Dec 4, 2017.