Organization
JUAN T. ESTEVEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN T ESTEVEZ M.D. (PRESIDENT)
(914) 310-3418
Entity
Organization
Contact information
Practice address
375 E FORDHAM RD FL 2, BRONX, NY 10458-5033
(718) 584-3826
(718) 584-7309
Mailing address
43 HAYHURST DR, NEW ROCHELLE, NY 10804-2001
(914) 235-8997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01567064
—
NY
Enumeration date
09/10/2007
Last updated
09/10/2007
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