Individual
JOSE JESSURUN-SOLOMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-6481
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-6481
(212) 746-6484
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
266154-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038590
—
MT
01
—
082727
FAIRIVEW
MN
01
—
1010329
PREFERRED ONE
MN
01
—
101360
U CARE
MN
01
—
11-00014
MEDICA-PRIMARY
MN
01
—
1124548
MEDICA-CHOICE
MN
01
—
4T513JE
BLUE CROSS BLUE SHIELD
MN
05
—
661388800
—
MN
01
—
768180
ARAZ
—
01
—
HP22292
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
11/26/2024
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