Doctor Name: | ANGELA MARIA DEJESUS |
NPI Number: | 1023250313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BACHELORS |
License Number: | 457339041 |
Business Practice Address: | 59 - 43 160th St 2ndflr Fresh Meadows, NY - 113651445 |
Business Phone Number: | 3473686505 |
Business Fax Number: | |
Mailing Address: | 5943 160th St # 2ndflr, FRESH MEADOWS |
State: | NY |
Postal Code: | 113651445 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | 457339041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |