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Individual

MARIA I BETANCOURT

Active
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Individual

MARIA I BETANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
182264
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1074357
AETNA HMO
NY
01
133652484
TAX ID
NY
01
182264
HIP
NY
01
4295360
AETNA PPO
NY
01
448588
CIGNA
NY
01
80N41
EMPIRE BC/BS
NY
01
NP751
OXFORD
NY
01
OMO783
PHCS
NY
Enumeration date
10/02/2006
Last updated
12/11/2015
About Stedi
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