Jeyce Declue
Foot Surgery
3049 Brighton 6th St
Brooklyn
, New York 11235-6409
Jeyce Declue
Foot Surgery
3049 Brighton 6th St
Brooklyn
, New York 11235-6409
(631) 338-4329
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Jeyce Declue
- 15 Birch Hill Rd
- Mount Sinai, NY
- Zip : 11766-1903
- Phone : (631) 338-4329
Second Address
- Jeyce Declue
- 3049 Brighton 6th St
- Brooklyn, NY
- Zip : 11235-6409
- Fax : (718) 872-5722
- Phone : (718) 872-5721
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | N006064 | NY |
National Provider Identifier
| NPI | 1306827514 |
|---|---|
| Provider Name | Jeyce Declue |
| First Address | Mount Sinai, NY 11766-1903 |
| Second Address | Brooklyn, NY 11235-6409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2005 |
| Last Update Date | 20/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02953419 | (05) | NY |
| V03746 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.