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Individual

DR. ALBERTO LUNA VEGA SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1588 3RD AVE 89TH ST NY NY 10128, 2146 BEVERLY RD, BKLYN, NY 11226
(212) 369-9620
Mailing address
1760 2ND AVE APT 17B, NEW YORK, NY 10128-5392
(212) 369-9620

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
171809
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01729726
NY
Enumeration date
11/24/2006
Last updated
07/08/2007
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