Organization
DIVINO NINO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE NUNEZ M.D (PRESIDENT)
(347) 590-0660
Entity
Organization
Contact information
Practice address
557 E FORDHAM RD, BRONX, NY 10458-5001
(347) 590-0660
(347) 590-0663
Mailing address
557 E FORDHAM RD, BRONX, NY 10458-5001
(347) 590-0660
(347) 590-0663
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
248239
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03031041
—
NY
Enumeration date
05/12/2009
Last updated
05/12/2010
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