Andredi Miguel Pumarejo Medina, M.D.
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1053001024
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1053001024
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andredi Miguel Pumarejo Medina
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2023
- Certification date
- May 11, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
760 BroadwayBrooklyn, NY 11206
Phone 718-963-5807 · Fax 718-963-8752
Mailing address
760 BroadwayBrooklyn, NY 11206
Phone 718-963-5807 · Fax 718-963-8752
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