Individual
JAMES DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(516) 457-7009
Mailing address
2 VINEYARD WAY, MOUNT SINAI, NY 11766-1829
(516) 457-7009
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
723607-01
NY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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