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Individual

DR. JUAN T ESTEVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
375 E FORDHAM RD, BRONX, NY 10458-5033
(718) 584-3826
Mailing address
43 HAYHURST DR, NEW ROCHELLE, NY 10804-2001
(914) 235-8997

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199868
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01567064
NY
Enumeration date
01/02/2007
Last updated
05/07/2012
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