Individual
JULIO ALBERTO RIASCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
1541 BRICKELL AVE, MIAMI, FL 33129-1213
(718) 450-0809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
268315
NY
2084P0800X
Psychiatry Physician
62436
CT
2084P0804X
Child & Adolescent Psychiatry Physician
ME115860
FL
Other
Enumeration date
09/27/2011
Last updated
07/18/2019
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