MAIRA FONSECA

BRONX, NY
NPI1003201799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NY  300446)
Enumeration Date2015-03-31
Last Update Date2024-11-14
Business Address
MAIRA FONSECA
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 212-639-3210
Mailing Address
MAIRA FONSECA
1275 YORK AVE # 8
NEW YORK, NY 10065-6007
Phone number:
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