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NPI Code Detail

MEDICARE: DR. MAIQUEL CARRASCO M.D.

MEDICARE:  DR. MAIQUEL  CARRASCO  M.D.
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
1207V00000XObstetrics & Gynecology Physician206772-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033186291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAIQUEL CARRASCO M.D.
Provider Business Mailing Address
First Line : 328 EAST 75TH STREET
Second Line : SUITE 4
City : NEW YORK
State : NY
Zip : 10021-3317
Country : US
Telephone Number : 212-772-3722
Fax Number : 212-794-3425
Provider Business Practice Location Address
First Line : 328 E 75TH ST
Second Line : SUITE 4
City : NEW YORK
State : NY
Zip : 10021-3317
Country : US
Telephone Number : 212-772-3722
Fax Number : 212-794-3425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 04/23/2015

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Directions to “ DR. MAIQUEL CARRASCO M.D.” Practice Location

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