# JUAN A. ALBA, MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144071978
- **Authorized official:** DR. JUAN A ALBA (MEDICAL DOCTOR)
- **Authorized official phone:** (551) 404-7884

## Contact information

- **Practice address:** 29 WADSWORTH AVE APT 1B, NEW YORK, NY 10033-7011
- **Practice address phone:** (551) 404-7885
- **Mailing address:** 29 WADSWORTH AVE APT 1B, NEW YORK, NY 10033-7011
- **Mailing address phone:** (551) 404-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2024
- **Last updated:** 03/29/2024