Individual
DR. LADY PAULA JOSE DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
7523 FORT HAMILTON PKWY, BROOKLYN, NY 11228-2342
(718) 745-7266
Mailing address
3078 34TH ST, #4C, ASTORIA, NY 11103-5253
(305) 498-9013
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
006439
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006439
NY
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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