Mahalia S Desruisseaux MD

NPI 1063603918 - Internal Medicine - 207RI0200X

NPI Details
NPI 1063603918
Gender Female
Enumeration Date 08/06/2007
Last Updated 07/11/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1300 MORRIS PARK AVE
GOLDING 704
BRONX NY, 10461-1900, US
Phone (718) 430-4070
Fax
Business Location
1300 MORRIS PARK AVE
GOLDING 704
BRONX NY, 10461-1900, US
Phone (718) 430-4070
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State New York
License Number 229654
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According to our database, Dr. Mahalia S Desruisseaux MD NPI is 1063603918, taxonomy code is 207RI0200X and license number is 229654, license state is located at New York. Mahalia S Desruisseaux MD physically located at 1300 Morris Park Ave, Bronx NY, 10461-1900. NPI Number Mahalia S Desruisseaux MD has the Individual type.

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1063603918 NPI number is provided on an as is basis without warranty of any kind. 1063603918 is maintained by the National Plan & Provider Enumeration System. The contents of Mahalia S Desruisseaux MD are for informational purposes only.