Individual
DR. GARRETT DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
318683
NY
2085R0202X
Diagnostic Radiology Physician
A130608
CA
2085R0202X
Diagnostic Radiology Physician
MD6084084
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
WA
Enumeration date
04/02/2012
Last updated
12/11/2025
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