NPI 1003201799

Maira Fonseca

Practitioner Dermatology Physician Bronx, NY

Practice location

Address: 234 E 149th St, Bronx, NY 10451-5504
Phone: (212) 639-3210
Mailing address: 1275 York Ave # 8, New York, NY 10065-6007

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 300446 (NY)

Other Dermatology providers in New York →

Registry record

NPI: 1003201799
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2015
Record last updated: 14 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.