Jeffrey Deceglia in Brooklyn - Physician Assistant
Jeffrey Deceglia - NPI 1396890646
Jeffrey Deceglia is a Physician Assistant in Brooklyn, New York. Jeffrey Deceglia practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeffrey Deceglia is 1396890646. The last update date is 2007-07-08.
Jeffrey Deceglia's current location address is 339 Hicks St, Brooklyn, New York. You can contact this provider via phone number 7187801961. The mailing address for Jeffrey Deceglia is 339 Hicks St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Deceglia |
|---|---|
| Address | 339 Hicks St, Brooklyn, New York |
| Phone Number | 7187801961 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396890646 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 339 Hicks St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112015509 |
| Phone Number | 7187801961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3506 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Jeffrey Deceglia by the Centers for Medicare & Medicaid Services?
The Jeffrey Deceglia has been assigned the NPI (National Provider Identifier) 1396890646 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jeffrey Deceglia?
The Jeffrey Deceglia is physically situated at 339 Hicks St, in the city of Brooklyn, state of NY, with the postal code 112015509.
What is Jeffrey Deceglia's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Deceglia's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did Jeffrey Deceglia receive its 1396890646 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Deceglia was assigned its 1396890646 on 2007-01-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jeffrey Deceglia last refreshed?
The information related to the Jeffrey Deceglia, including its address, specialty, and other relevant details, was last updated on 2007-07-08.