Individual
ENOCH CARRILLO MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A136625
CA
Other
Enumeration date
04/10/2012
Last updated
04/02/2024
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