Individual provider · NPI-1

Dr. Eneida Agosto-Colon, MD

Internal Medicine, Rheumatology · Jackson Heights, NY

NPI number1629165162
StatusActive
Last updated in NPPESJun 19, 2014

Details

NPI
1629165162
Entity type
Individual (NPI-1)
Name
Dr. Eneida Agosto-Colon
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 6, 2006
Last updated
Jun 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology211512NYYes

Practice location

3713 85th St Bsmt
Jackson Heights, NY 11372-7352

Phone 718-507-5400 · Fax 718-507-5422

Mailing address

3713 85th St Bsmt
Jackson Heights, NY 11372-7352

Phone 718-507-5400 · Fax 718-507-5422

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