Individual
EMANUELA M MACIAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
(781) 299-6797
Mailing address
1434 WILLIAMSBRIDGE RD, BRONX, NY 10461-2507
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01973808
—
NY
Enumeration date
07/21/2005
Last updated
11/23/2021
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