Individual
LUIS M MATURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5136
Mailing address
2 PARK AVE, YONKERS, NY 10703-3402
(914) 964-7862
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
279748
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2011
Last updated
03/24/2025
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