Jesse Delello
Physician Assistant, Medical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1043928005
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1043928005
- Entity type
- Individual (NPI-1)
- Name
- Jesse Delello
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2022
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
506 6th StBrooklyn, NY 11215-3609
Phone 718-780-3000
Mailing address
506 6th StBrooklyn, NY 11215-3609
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