Individual
ALBERTO CANIZARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 GRACE AVE STE 204, GREAT NECK, NY 11021-2417
(917) 582-4115
Mailing address
119 PURITAN AVE, FOREST HILLS, NY 11375-6027
(917) 582-4115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
238272
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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