Individual
ANA MARITZA MARULANDA PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5383
(347) 419-8277
Mailing address
1705 DEAN ST APT 1B, BROOKLYN, NY 11213-1980
(347) 419-8277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
390200000
NY
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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