Individual
DR. CELESTINO EDDIE SEPULVEDA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 WASHINGTON STREET, SUITE 203, POUGHKEEPSIE, NY 12601
(845) 471-0800
(845) 471-0811
Mailing address
207 WASHINGTON STREET, SUITE 203, POUGHKEEPSIE, NY 12601
(845) 471-0800
(845) 471-0811
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
172205-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01051876
—
NY
Enumeration date
01/12/2007
Last updated
09/19/2024
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