Individual
DIANA MARCELA ROJAS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 709-7741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021966
NY
Other
Enumeration date
04/05/2018
Last updated
04/17/2018
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