Individual
MARIN NICU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5222
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 901-8911
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
231251
NY
Other
Enumeration date
07/02/2007
Last updated
02/29/2024
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