Organization
DIGNICARE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE DEJESUS M.D. (MEMBER/OWNER)
(347) 254-6462
Entity
Organization
Contact information
Practice address
2060 E 61ST ST, APT 1, BROOKLYN, NY 11234-5908
(347) 254-6462
(718) 306-5238
Mailing address
2060 E 61ST ST, APT 1, BROOKLYN, NY 11234-5908
(347) 254-6462
(718) 306-5238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1724301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02377035
—
NY
01
—
05762
GHI MEDICARE
NY
Enumeration date
02/11/2007
Last updated
08/01/2010
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