Individual
MR. CARLOS DANIEL ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 342-3622
Mailing address
45 TUDOR CITY PL APT 615, NEW YORK, NY 10017-7604
(212) 682-1456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23011561
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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