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
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Specialist Primary | 174400000X | None 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.