Patricio Paul Gallardo Avila, MD
Pediatrics in New York, NY. Individual provider (NPI-1).
NPI number1659892016
StatusActive
Last updated in NPPESJan 25, 2021
Details
- NPI
- 1659892016
- Entity type
- Individual (NPI-1)
- Name
- Patricio Paul Gallardo Avila
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2017
- Certification date
- Jan 25, 2021
- Last updated
- Jan 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 305493 | NY | Yes |
Practice location
3332 BroadwayNew York, NY 10031-8732
Phone 212-694-2000 · Fax 212-694-2936
Mailing address
3332 BroadwayNew York, NY 10031-8732
Phone 212-694-2000 · Fax 212-694-2936
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