Individual
JUAN ANDRES ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
29 WADSWORTH AVE, SUITE 1B, NEW YORK, NY 10033-7055
(212) 928-1366
(212) 928-1368
Mailing address
332 SYLVAN AVE, LEONIA, NJ 07605-2027
(201) 944-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01754810
—
NY
Enumeration date
10/27/2006
Last updated
02/22/2012
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