Individual
MAYELA ANDREINA DUQUE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-7957
(718) 963-7957
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036156130
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036156130
IL
Other
Enumeration date
06/25/2018
Last updated
04/14/2025
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