Individual provider · Type 1 NPI
Brian Joseph Revilla Sajorda, MD
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1821748757
Active
Practice location
630 W 168th St
New York, NY 10032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1821748757
Brian Joseph Revilla Sajorda, MD's National Provider Identifier is 1821748757, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 24, 2022.