Individual
DR. MAIQUEL CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
328 E 75TH ST, SUITE 4, NEW YORK, NY 10021-3317
(212) 772-3722
(212) 794-3425
Mailing address
328 EAST 75TH STREET, SUITE 4, NEW YORK, NY 10021-3317
(212) 772-3722
(212) 794-3425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206772-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01796730
—
NY
Enumeration date
03/07/2006
Last updated
04/23/2015
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