Individual
MS. DORIS MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
260 E 161ST ST, BRONX, NY 10451-3512
(718) 993-3397
(718) 933-2460
Mailing address
260 E 161ST ST, BRONX, NY 10451-3512
(718) 993-3397
(718) 933-2460
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
514500-1
NY
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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