Individual
ILEANA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10440 QUEENS BLVD, APT 4C, FOREST HILLS, NY 11375-3637
(347) 622-3385
Mailing address
10440 QUEENS BLVD, APT 4C, FOREST HILLS, NY 11375-3637
(347) 622-3385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
261206-1
NY
207L00000X
Anesthesiology Physician
MD447273
PA
390200000X
Student in an Organized Health Care Education/Training Program
26566
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
09/18/2007
Last updated
03/05/2015
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