Individual
DR. LUIS ALBERTO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4000
Mailing address
2 W 120TH ST APT 3N, NEW YORK, NY 10027-6352
(212) 876-6064
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
51415-020
WI
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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