Individual
YLONKA WALKIRIA DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
56 PERSHING DR, SCOTIA, NY 12302-2918
(518) 844-9359
Mailing address
56 PERSHING DR, SCOTIA, NY 12302-2918
(518) 844-9359
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405999
NY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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