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Individual

MARALYS COLON BETANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
250 PARKWAY DR STE 150, LINCOLNSHIRE, IL 60069-4340
(833) 351-8255
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(833) 351-8255

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01087793A
IN
2084P0800X
Psychiatry Physician
036171479
IL
2084P0800X
Psychiatry Physician
Primary
326216
LA
2084P0800X
Psychiatry Physician
332203
NY
2084P0800X
Psychiatry Physician
MD487133
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300062263
IN
Enumeration date
07/25/2016
Last updated
04/04/2025
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