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Individual

JEFFREY DEYGOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
290 MADISON AVE STE 203, NEW YORK, NY 10017-6308
(855) 637-1915
Mailing address
1117 ROUTE 46 STE 205, CLIFTON, NJ 07013-2450
(620) 679-1997

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA10858500
NJ
208VP0014X
Interventional Pain Medicine Physician
305111
NY

Other

Enumeration date
04/22/2015
Last updated
08/06/2025
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