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NPI Code Detail

MEDICARE: DR. MICHELLE NUNEZ-GARCIA MD

MEDICARE: DR. MICHELLE NUNEZ-GARCIA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1043061716
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE NUNEZ-GARCIA MD
Provider Business Mailing Address
First Line : 5701 BLVD E APT 12G
Second Line :
City : WEST NEW YORK
State : NJ
Zip : 07093-3607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2024
Last Update Date : 03/29/2024

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