Individual
FAUSTO MINAYA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 BISHOP DR, ORANGE, CT 06477-2522
(203) 553-9696
(203) 298-4185
Mailing address
540 BISHOP DR, ORANGE, CT 06477-2522
(203) 298-4185
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
144151
NY
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
09/09/2015
Last updated
07/09/2016
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