Individual
DR. JUAN CARLOS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 PARK ST, SUITE 202, GLENS FALLS, NY 12801-4449
(518) 793-0475
(518) 793-6658
Mailing address
102 PARK ST, SUITE 202, PO BOX 787, GLENS FALLS, NY 12801-4449
(518) 793-0475
(518) 793-6658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
230363
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
230363-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
230363-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02191151
—
NY
Enumeration date
06/14/2006
Last updated
10/10/2024
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