Individual
DR. JERSLIN DE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1650 EASTERN PKWY, BROOKLYN, NY 11233-4804
(646) 588-8000
Mailing address
1650 EASTERN PKWY, BROOKLYN, NY 11233-4804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012739-1
NY
111NI0013X
Independent Medical Examiner Chiropractor
X0121739-1
NY
Other
Enumeration date
10/08/2017
Last updated
05/30/2019
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