Individual provider · Type 1 NPI

Mark Reyes De Jesus, MS

Specialist · Elmhurst, NY

NPI number 1336690494 Active

Practice location

8611 Whitney Ave, 3M
Elmhurst, NY 11373-3668

Mailing address

8611 Whitney Avenue, 3M
Elmhurst, NY 11373-3636

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336690494

Mark Reyes De Jesus, MS's National Provider Identifier is 1336690494, issued on Oct 24, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Elmhurst, NY. The record was last updated on Oct 24, 2016.