Organization
LADY PAULA DEJESUS, DPM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADY PAULA DEJESUS DPM (OWNER)
(347) 820-2531
Entity
Organization
Contact information
Practice address
23-18 BROADWAY, ASTORIA, NY 11106
(347) 820-2531
Mailing address
23-18 BROADWAY, ASTORIA, NY 11106
(347) 820-2531
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006439
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
006439
NY
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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