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Marcelo Fagundes
NPI 1932372000 · on the registry since 2008 · sole proprietor
Practice
- Address
- 307 W 93rd St
Apt. # 6w2
New York, NY 10025 - Phone
- (917) 293-0562
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York