Individual
DR. CARMENCITA CONCEPCION VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 466-7281
(718) 466-7288
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 466-7281
(718) 466-7288
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
243643
NY
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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