Individual provider · Type 1 NPI

Courtney Dejesus

Surgical Physician Assistant · Halfmoon, NY

NPI number 1487940003 Active

Practice location

1768 Route 9
Halfmoon, NY 12065-2402

Mailing address

121 Everett Rd
Albany, NY 12205-1474

Other practice locations

  • 5 Care Ln, Saratoga Springs, NY 12866-8623 · (518) 489-2663

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X014802 (NY)
Surgical Physician Assistant Primary 363AS0400X014802 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1487940003

Courtney Dejesus's National Provider Identifier is 1487940003, issued on Jun 22, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Halfmoon, NY. The record was last updated on Jul 16, 2025.