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Individual

JAVIER DEPAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
(718) 206-6175
(718) 206-6915
Mailing address
116 N 7TH ST, NEW HYDE PARK, NY 11040-3027
(718) 206-6175
(718) 206-6915

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
000974
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
000974
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
250320
NY

Other

Enumeration date
04/06/2006
Last updated
02/26/2013
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