NYDIA ELENA PROVIDENCE

NEW YORK, NY
NPI1861552333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  203890)
Additional Taxonomies207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NY  203890)
Enumeration Date2006-12-12
Last Update Date2022-10-27
Business Address
Dr. NYDIA ELENA PROVIDENCE M.D.
5141 BROADWAY
NEW YORK, NY 10034-1159
Phone number: 212-932-4439
Mailing Address
Dr. NYDIA ELENA PROVIDENCE M.D.
630 W 168TH ST # 4 VC 12TH FLOOR, SUITE 208
NEW YORK, NY 10032-3725
Phone number: