Individual
DR. CANDIDO CESAR NORBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 FORT WASHINGTON AVE, NEW YORK, NY 10032-4715
(212) 568-4390
Mailing address
2742 JOHNSON AVE, BRONX, NY 10463-4913
(212) 568-4390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
160621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160621
NEW YORK STATE LICENSE
NY
Enumeration date
05/15/2007
Last updated
09/20/2023
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