Individual
SILVIA HUIRACOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8803 91ST AVE, WOODHAVEN, NY 11421-2535
(347) 461-7066
Mailing address
8803 91ST AVE, WOODHAVEN, NY 11421-2535
(347) 461-7066
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P122256
NY
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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