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Individual
MR. LUIS CARLOS MUNOZ
Active
Individual
MR. LUIS CARLOS MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019391
NY
363AS0400X
Surgical Physician Assistant
Primary
019391
NY
Other
Enumeration date
12/21/2015
Last updated
01/09/2019
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