Individual
MARIA MARGARITA PESQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 NEW KARNER RD, ALBANY, NY 12205-3809
(518) 285-5815
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208107
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
208107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01986983
—
NY
Enumeration date
09/08/2010
Last updated
06/25/2020
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