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Individual
CARLOS AREVALO
Active
Individual
CARLOS AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141330
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
141330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00461367
—
NY
Enumeration date
02/22/2006
Last updated
09/30/2012
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