Dezego, Jessica

Dezego, Jessica is an individual health care provider with primary practice located at 404 Potter Blvd , Brightwaters NY 11718-1830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dezego, Jessica can be contacted via phone (631) 376-0055.

Contact Information

Primary practice address
404 Potter Blvd Brightwaters NY 11718-1830
Phone: (631) 376-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022967 New York

Profile Details

NPI number 1407327794
LBN Legal business name Dezego, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2018
Last updated Sep 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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