Individual
MARIA ENID CHICO CARDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 PROSPECT AVE, BRONX, NY 10459-3978
(718) 991-0605
Mailing address
890 PROSPECT AVE, BRONX, NY 10459-3978
(718) 991-0605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301118
NY
Other
Enumeration date
06/24/2013
Last updated
09/04/2020
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