Individual
ALEJANDRO DANIEL IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6247
Mailing address
PO BOX 32889, HARTFORD, CT 06150-2889
(212) 420-4179
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
237706
NY
207SG0202X
Clinical Biochemical Genetics Physician
237706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02598992
—
NY
Enumeration date
11/15/2005
Last updated
01/30/2024
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