Individual provider · Type 1 NPI

Eduley Lopez Tejeda, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1558209072 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7697

Call (718) 901-8203 Map

Fax (718) 901-8704

Mailing address

505 Mclean Ave
Yonkers, NY 10705-5612

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558209072

Eduley Lopez Tejeda, MD's National Provider Identifier is 1558209072, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 24, 2026.