Individual
BRENDA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 8TH AVE FL 2, NEW YORK, NY 10018-4332
(212) 787-9700
Mailing address
535 8TH AVE FL 2, NEW YORK, NY 10018-4332
(212) 787-9700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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