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Organization
SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC
Active
Organization
SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC
Active
Other names
Private Practice Center of NY
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DE JESUS MS,NP-BC (NURSE PRACTITIONER/OWNER)
(347) 935-3333
Entity
Organization
Contact information
Practice address
3016 31ST ST, ASTORIA, NY 11102-1866
(917) 557-5741
(347) 935-3936
Mailing address
3016 31ST ST, MAIN FL, ASTORIA, NY 11102-1866
(347) 935-3333
(347) 935-3936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
400845
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400845
NY
Other
Enumeration date
07/06/2009
Last updated
01/22/2011
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