Individual provider · Type 1 NPI

Lady Paula Jose Dejesus, DPM

Foot & Ankle Surgery Podiatrist · Brooklyn, NY

NPI number 1558643221 Active

Practice location

7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2342

Mailing address

3078 34th St, #4C
Astoria, NY 11103-5253

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist 213EP1101X006439 (NY)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X006439 (NY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1558643221

Lady Paula Jose Dejesus, DPM's National Provider Identifier is 1558643221, issued on Sep 19, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 19, 2011.