Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 270009 | NY |
NPI | 1427215185 |
---|---|
Provider Name | Dr. Laura Malaga Dieguez |
First Address | New York, NY 10024-3622 |
Second Address | New York, NY 10016-8203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 22/08/2014 |