Provider Demographics
NPI:1285662049
Name:DE JESUS, MARIA ARSYL DULAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA ARSYL
Middle Name:DULAY
Last Name:DE JESUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 RIVERFRONT CTR
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-4620
Mailing Address - Country:US
Mailing Address - Phone:518-843-0020
Mailing Address - Fax:518-843-0023
Practice Address - Street 1:1700 RIVERFRONT CTR
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-4620
Practice Address - Country:US
Practice Address - Phone:518-843-0020
Practice Address - Fax:518-843-0023
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2497792085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02525482Medicaid
NYP00658159OtherRAILROAD MEDICARE
NYA400028644Medicare PIN
NYP00658159OtherRAILROAD MEDICARE
NYH85496Medicare UPIN