Organization
D&D PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADY PAULA JOSE DEJESUS D.P.M. (OWNER)
(347) 820-2531
Entity
Organization
Contact information
Practice address
23-18 BROADWAY, ASTORIA, NY 11106
(347) 820-2531
Mailing address
23-18 BROADWAY, ASTORIA, NY 11106
(347) 820-2531
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006439
NY
Other
Enumeration date
08/07/2013
Last updated
12/02/2015
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