National Provider Identifier
Garrett Dejesus, M.D.
Garrett Dejesus, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1104192301
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- April 02, 2012
- Last Updated
- December 11, 2025
Practice Location
- Elm And Carlton St
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1104192301
- Entity Type
- Individual
- Last Name
- Dejesus
- First Name
- Garrett
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Practice Street Address
- Elm And Carlton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- April 02, 2012
- Last Updated
- December 11, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 11, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 0000000 (WA)