Individual
ELISA IRAIDA MUNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 MORRIS PARK AVE, BRONX, NY 10461-1949
(718) 430-3914
Mailing address
675 WATER ST, APT. 14B, NEW YORK, NY 10002-8113
(305) 321-0089
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
244589
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
244589
NY
Other
Enumeration date
06/12/2007
Last updated
03/21/2024
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