Individual
DR. ELIANA AMPARO SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2449 28TH ST APT 2, ASTORIA, NY 11102-1914
(504) 461-7312
Mailing address
2449 28TH ST APT 2, ASTORIA, NY 11102-1914
(504) 461-7312
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
237109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035122
—
LA
01
—
201700
STATE MEDICAL BOARD
LA
Enumeration date
05/24/2006
Last updated
08/14/2024
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