LUIS ANTONIO CACERES VILLALTA

CORONA, NY
NPI1053803742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: NY  310925-01)
Enumeration Date2018-05-30
Last Update Date2021-07-07
Business Address
Mr. LUIS ANTONIO CACERES VILLALTA M.D.
3716 108TH ST
CORONA, NY 11368-2025
Phone number: 718-651-4000
Mailing Address
Mr. LUIS ANTONIO CACERES VILLALTA M.D.
3716 108TH ST
CORONA, NY 11368-2025
Phone number: 718-651-4000
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