Individual
GUADALUPE ISABEL MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
645 10TH AVE, NEW YORK, NY 10036-2904
(212) 265-4500
Mailing address
645 10TH AVE, NEW YORK, NY 10036-2904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228895
NY
Other
Enumeration date
07/30/2006
Last updated
01/10/2018
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