JOSE ANTONIO JALLER GRANADOS

BRONX, NY
NPI1407312887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-02-11
Last Update Date2019-02-11
Business Address
JOSE ANTONIO JALLER GRANADOS MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2680
Mailing Address
JOSE ANTONIO JALLER GRANADOS MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-2680