Organization
SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC
Active
Other names
Private Practice Center of NY
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DE JESUS MS,NP-BC (NURSE PRACTITIONER/OWNER)
(347) 935-3333
Entity
Organization
Contact information
Practice address
3016 31ST ST, ASTORIA, NY 11102-1866
(917) 557-5741
(347) 935-3936
Mailing address
3016 31ST ST, MAIN FL, ASTORIA, NY 11102-1866
(347) 935-3333
(347) 935-3936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
400845
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400845
NY
Other
Enumeration date
07/06/2009
Last updated
01/22/2011
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