Individual
LA MARIA B. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-7099
Mailing address
3326 ROCHAMBEAU AVE, BRONX, NY 10467-2839
(718) 920-7099
(718) 652-3810
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
023374
NY
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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