Individual
MRS. CYNTHIA ENRIQUEZ DESEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD EARLY CHILDHOOD
Contact information
Practice address
9777 QUEENS BLVD, REGO PARK, NY 11374-3335
(718) 830-9274
(718) 830-0761
Mailing address
5764 MAZEAU ST, MASPETH, NY 11378-1927
(347) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
174400000X
Specialist
—
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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