Individual provider · Type 1 NPI

Cynthia Enriquez Desepeda, MD EARLY CHILDHOOD

Specialist · Rego Park, NY

NPI number 1295172500 Active

Practice location

9777 Queens Blvd
Rego Park, NY 11374-3335

Call (718) 830-9274 Map

Fax (718) 830-0761

Mailing address

5764 Mazeau St
Maspeth, NY 11378-1927

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Specialist 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1295172500

Cynthia Enriquez Desepeda, MD EARLY CHILDHOOD's National Provider Identifier is 1295172500, issued on May 28, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on May 28, 2013.