Organization
MAIQUEL CARRASCO OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIQUEL R CARRASCO MD (OWNER)
(212) 772-3722
Entity
Organization
Contact information
Practice address
328 E 75TH ST, SUITE 4, NEW YORK, NY 10021-3317
(212) 772-3722
(212) 794-3425
Mailing address
328 E 75TH ST, SUITE 4, NEW YORK, NY 10021-3317
(212) 772-3722
(212) 794-3425
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
206772
NY
Other
Enumeration date
05/15/2008
Last updated
12/09/2008
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