Individual
JUAN ALEJANDRO LANTIGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
541 W 204TH ST APT 3K, NEW YORK, NY 10034-4041
(917) 328-3487
Mailing address
541 W 204TH ST APT 3K, NEW YORK, NY 10034-4041
(917) 328-3487
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-279
NY
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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