Individual provider · Type 1 NPI

Ian Carlo Dejesus, PA

Physician Assistant · Brooklyn, NY

NPI number 1952484719 Active

Practice location

760 Broadway
Brooklyn, NY 11206-5317

Mailing address

20936 27th Ave
Bayside, NY 11360-2405

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XP47235 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1952484719

Ian Carlo Dejesus, PA's National Provider Identifier is 1952484719, issued on Oct 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.