# SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Private Practice Center of NY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538398052
- **Authorized official:** SHARON DE JESUS MS,NP-BC (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (347) 935-3333

## Contact information

- **Practice address:** 3016 31ST ST, ASTORIA, NY 11102-1866
- **Practice address phone:** (917) 557-5741
- **Practice address fax:** (347) 935-3936
- **Mailing address:** 3016 31ST ST, MAIN FL, ASTORIA, NY 11102-1866
- **Mailing address phone:** (347) 935-3333
- **Mailing address fax:** (347) 935-3936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 400845 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 400845 | NY | Yes |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 01/22/2011