Individual
MARIE JUDE JEAN AUGUSTE SAJOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4343
Mailing address
1486 ROSSER AVE, ELMONT, NY 11003-3033
(516) 406-4234
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
308331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
748464367
NEW YORK STATE IDENTIFICATION CARD
NY
Enumeration date
02/22/2018
Last updated
02/22/2018
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