Doctor Name: | ALEXANDER DE JESUS |
NPI Number: | 1912046541 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 024359 |
Business Practice Address: | 3457 82nd St Apt 1g Jackson Heights, NY - 113722930 |
Business Phone Number: | 3476738000 |
Business Fax Number: | |
Mailing Address: | 9742 91st St Apt 1a, OZONE PARK |
State: | NY |
Postal Code: | 114162211 |
Phone Number: | 3476738000 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 024359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |