Individual
RAELEEN DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1180 MORRIS PARK AVE STE 2, BRONX, NY 10461-1925
(347) 498-2462
Mailing address
1250 WATERS PL, TOWER #2, UROLOGY DEPARTMENT - 9TH FLOOR, BRONX, NY 10461-2720
(718) 920-4531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305944
NY
Other
Enumeration date
12/13/2011
Last updated
11/07/2025
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