Individual
ERICK JOSUE MELENDEZ AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3542
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
302178
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2016
Last updated
06/30/2020
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