Individual
SEBASTIAN ALFREDO CISNEROS TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST FL 4, NEW YORK, NY 10032-3720
(212) 305-9099
Mailing address
622 W 168TH ST FL 4, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
299723
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2016
Last updated
06/16/2022
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