Jean Robert Desrouleaux


Address: 175 Fulton Ave, Suite 208, Hempstead, NY 11550-3702

Jean Robert Desrouleaux (NPI# 1609809169, PAC ID# 8325001605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1609809169
PAC ID by PECOS 8325001605
Professional Enrollment ID I20041108000790
Full Name Jean Robert Desrouleaux
Address 175 Fulton Ave
Suite 208
Hempstead
NY 11550-3702
Gender M
Credential MD
Graduation Year 1976
Primary Specialty NEUROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330259 MERCY MEDICAL CENTER
330195 NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER

Other Locations

Address Phone Organization
175 Fulton Ave, Suite 208, Hempstead, NY 11550-3702
1000 N Village Ave, Rockville Center, NY 11570-1000 5167051353 MERCY INTERNAL MEDICINE PC

Organization Information

Office Location

Street Address 175 FULTON AVE
SUITE 208
City HEMPSTEAD
State NY
Zip 11550-3702

Physicians in the same location

Name Specialty Organization Address
Luz M Alvarez Psychiatry 175 Fulton Ave, Suite 306, Hempstead, NY 11550-3702

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Name Specialty Organization Address
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Richard L Addes Family Medicine 54 Main Street Medical Practice PC 129 Jackson St, Hempstead, NY 11550-2412
Robert Gregorio Bernales Family Medicine Long Island Fqhc, Inc. 135 Main St, Hempstead, NY 11550-2414
Naseem A Hussaini Internal Medicine Long Island Fqhc, Inc. 135 Main St, Hempstead, NY 11550-2414
Tami Hall Nurse Practitioner Long Island Fqhc, Inc. 135 Main St, Hempstead, NY 11550-2414
Adedeji Adelaja Family Medicine Long Island Fqhc, Inc. 135 Main St, Hempstead, NY 11550-2414
Emilio Garcia Family Medicine Long Island Fqhc, Inc. 135 Main St, Hempstead, NY 11550-2414
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Competitor

Search similar physicians

City HEMPSTEAD
Zip Code 11550
Specialty NEUROLOGY
City + Specialty HEMPSTEAD + NEUROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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