Individual
DR. ERNESTO AQUIATAN NUEVA ESPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 PALISADE AVE, RIVERDALE, NY 10471-1214
(718) 581-1200
(718) 581-1012
Mailing address
159 OLD WILMOT RD, SCARSDALE, NY 10583-6162
(914) 472-5937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
181822
NY
Other
Enumeration date
10/17/2005
Last updated
12/07/2007
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