Individual
NITZY NICOLLE MUNOZ CASABLANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3930
Mailing address
7901 BROADWAY RM C7-10, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
299457
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
08/24/2022
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