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Individual

DR. MARIBEL GARCIA-SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1276 FULTON AVE, 3RD FLOOR, BRONX, NY 10456-3402
(718) 901-8297
(718) 901-8704
Mailing address
603 W 115TH ST, #183, NEW YORK, NY 10025-7722
(212) 368-4259
(212) 368-0664

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
192537-1
NY
207QA0505X
Adult Medicine Physician
Primary
192537-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01904049
NY
Enumeration date
08/20/2007
Last updated
08/20/2007
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