Individual
DR. RENAN MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 59TH AVE, UNIT F6, ELMHURST, NY 11373-5150
(718) 592-0449
(718) 313-0442
Mailing address
9427 59TH AVE, UNIT F6, ELMHURST, NY 11373-5150
(718) 592-0449
(718) 313-0442
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
123163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00231503
—
NY
Enumeration date
05/24/2006
Last updated
09/20/2013
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