DEREK MAZIQUE

NEW YORK, NY
NPI1033537048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  288108)
Enumeration Date2014-04-07
Last Update Date2024-09-05
Business Address
DEREK MAZIQUE
5141 BROADWAY
NEW YORK, NY 10034
Phone number: 212-932-5218
Mailing Address
DEREK MAZIQUE
630 W 168TH ST # 4
NEW YORK, NY 10032-3725
Phone number: 212-932-5218