Individual
LAURA BERENICE GERALDINO PARDILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, P&S, SUITE 10-445 (COLUMBIA UNIVERSITY MEDICAL CENTER), NEW YORK, NY 10032-3720
(212) 305-4308
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256803
NY
207RR0500X
Rheumatology Physician
Primary
256803
NY
Other
Enumeration date
05/19/2008
Last updated
08/04/2014
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