Provider Demographics
NPI:1699562934
Name:DIEUJUSTE, MAGDA (SPECIAL EDUCATION)
Entity type:Individual
Prefix:MS
First Name:MAGDA
Middle Name:
Last Name:DIEUJUSTE
Suffix:
Gender:
Credentials:SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 BEACH CHANNEL DR APT 1319
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1539
Mailing Address - Country:US
Mailing Address - Phone:347-358-7611
Mailing Address - Fax:
Practice Address - Street 1:5123 BEACH CHANNEL DR APT 1319
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-1539
Practice Address - Country:US
Practice Address - Phone:347-358-7611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1767101231174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist