Individual
DR. NELLY MARIA MASEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 GERARD AVE FL 2, BRONX, NY 10452-8015
(718) 960-2777
(187) 960-2912
Mailing address
1225 GERARD AVE FL 2, BRONX, NY 10452-8015
(718) 960-2777
(718) 960-2912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
180271
NY
208000000X
Pediatrics Physician
Primary
182271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271030
—
NY
Enumeration date
07/13/2005
Last updated
09/12/2023
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