Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 232163 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 270364 | MA |
NPI | 1255415709 |
---|---|
Provider Name | Dr. Estevan Adan Garcia |
First Address | Brooklyn, NY 11215-5912 |
Second Address | Brooklyn, NY 11219-2919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 05/02/2019 |