Individual
JEYCE DECLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3049 BRIGHTON 6TH ST, BROOKLYN, NY 11235-6409
(718) 872-5721
(718) 872-5722
Mailing address
15 BIRCH HILL RD, MOUNT SINAI, NY 11766-1903
(631) 338-4329
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02953419
—
NY
Enumeration date
11/07/2005
Last updated
11/20/2012
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