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Individual

DR. JUAN CARLOS BARRAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1561 WESTCHESTER AVE, BRONX, NY 10472-2912
(718) 328-6200
(718) 328-6733
Mailing address
1561 WESTCHESTER AVE, BRONX, NY 10472-2912
(718) 328-6200
(718) 328-6733

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004648-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01141299
NY
Enumeration date
07/19/2005
Last updated
01/29/2013
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