Individual
CAROLINA PINHEIRO REZENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032
(212) 305-0585
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-0585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016588
NY
363AM0700X
Medical Physician Assistant
016588
NY
Other
Enumeration date
07/23/2013
Last updated
11/20/2019
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