Individual
DR. ROBERTO ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 80TH ST, SUITE 1B, NEW YORK, NY 10075-0334
(212) 717-4870
(212) 717-4872
Mailing address
111 E 80TH ST, SUITE 1B, NEW YORK, NY 10075-0334
(212) 717-4870
(212) 717-4872
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
232343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02657867
—
NY
Enumeration date
10/03/2006
Last updated
09/23/2014
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