Individual
MR. CARLOS M NEGRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3146 29TH ST FL 1, ASTORIA, NY 11106-3302
(917) 449-2517
Mailing address
3146 29TH ST FL 1, ASTORIA, NY 11106-3302
(917) 449-2517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010400-1
NY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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