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Stacy De Jesus
NPI 1407719693 · on the registry since 2025 · sole proprietor
Practice
- Address
- 990 Bronx Park S Apt 310
Bronx, NY 10460 - Phone
- (917) 331-3414
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York