Individual
ANDRESITO B PACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8615 QUEENS BLVD, ELMHURST, NY 11373-4427
(718) 899-6600
(718) 397-7782
Mailing address
441 9TH AVE, CREDENTIALING 3RD FL, NEW YORK, NY 10001-1623
(646) 680-2894
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00234428
—
NY
Enumeration date
05/23/2006
Last updated
12/08/2015
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