Organization
JEAN ROBERT DESROULEAUX MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-ROBERT DESROULEAUX M.D. (PRESIDENT)
(516) 292-7443
Entity
Organization
Contact information
Practice address
175 FULTON AVE, SUITE 208, HEMPSTEAD, NY 11550-3718
(516) 292-7443
(516) 483-7847
Mailing address
10 GRACE LANE, OYSTER BAY, NY 11771-4020
(516) 292-7443
(516) 483-7847
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
181744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485318
—
NY
Enumeration date
08/20/2008
Last updated
09/23/2008
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