Individual
DR. BRUNILDA LUCIA NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 W 23RD ST, NEW YORK, NY 10011-1132
(404) 831-4088
Mailing address
520 W 23RD ST, NEW YORK, NY 10011-1132
(404) 831-4088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51070
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
51070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51070
STATE BOARD OF MEDICAL EXAMINERS
GA
Enumeration date
09/18/2017
Last updated
07/21/2022
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