Individual
DR. JEAN-CLAUDE DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203
(718) 856-4469
Mailing address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 856-4469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
259032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03608913
—
NY
Enumeration date
09/23/2008
Last updated
07/10/2018
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