National Provider Identifier
Mary Dejonge
Mary Dejonge is listed in the NPPES registry with a primary specialty of School Registered Nurse in Newark, NY and a listed phone number of (315) 331-2086.
Profile Overview
- NPI
- 1598137580
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- October 29, 2015
- Last Updated
- October 29, 2015
Practice Location
- 848 Peirson Ave
- Newark, NY 14513-9762
Phone: (315) 331-2086
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1598137580
- Entity Type
- Individual
- Last Name
- Dejonge
- First Name
- Mary
- Mailing Street Address
- 848 Peirson Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9762
- Mailing Country
- US
- Practice Street Address
- 848 Peirson Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9762
- Practice Country
- US
- Practice Phone
- (315) 331-2086
- Enumeration Date
- October 29, 2015
- Last Updated
- October 29, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)