Individual
ADA BAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMG - CO-OP CITY, 2100 BARTOW AVENUE, STE. 311, BRONX, NY 10475
(718) 320-5300
Mailing address
2100 BARTOW AVE, BRONX, NY 10475-4614
(718) 320-5300
(718) 320-1116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200009
NY
Other
Enumeration date
10/26/2006
Last updated
01/25/2010
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