Individual
DR. MARIVI MACATANGAY DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 BROADWAY, DEPARTMENT OF ANESTHSIOLOGY AND PAIN MANAGEMENT 3A-30, BROOKLYN, NY 11206-5317
(718) 963-8000
(718) 963-8501
Mailing address
760 BROADWAY, DEPARTMENT OF ANESTHSIOLOGY AND PAIN MANAGEMENT 3A-30, BROOKLYN, NY 11206-5317
(718) 963-8000
(718) 963-8501
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L001934
NY
Other
Enumeration date
10/17/2006
Last updated
09/11/2008
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