Individual
DEVONJAE ANTHONY PERCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12840 237TH ST, ROSEDALE, NY 11422-1041
(347) 585-7326
Mailing address
12840 237TH ST, ROSEDALE, NY 11422-1041
(347) 585-7326
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
862771
NY
Other
Enumeration date
03/25/2025
Last updated
04/15/2025
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