Individual
DR. JOSE E MACCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 PALMER RD, LAWRENCE HOSPITAL CENTER, BRONXVILLE, NY 10708-4103
(914) 787-3265
(914) 787-3269
Mailing address
17 KRAFT AVE, BRONXVILLE, NY 10708-4103
(914) 771-6629
(914) 771-7106
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
141707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
818471
BLUE CROSS
NY
01
—
9600116
GHI
NY
Enumeration date
01/04/2006
Last updated
04/01/2008
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