Individual
DR. JORGE VENEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 MALCOLM X BLVD, WP 522, NEW YORK, NY 10037-1802
(212) 939-2740
(212) 939-2759
Mailing address
506 MALCOLM X BLVD, WP 522, NEW YORK, NY 10037-1802
(212) 939-2740
(212) 939-2759
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
233348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02607734
—
NY
Enumeration date
07/24/2006
Last updated
07/08/2007
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