Simon Grecel Mendez Bustamante, MD

NPI #1306369608 in Nyc, New York

Provider Information

NPI Number: 1306369608
Entity Type: Individual
Name: Simon Grecel Mendez Bustamante, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Jul 19, 2017
Last Updated: Jul 19, 2017

Practice Location

Address: 1400 PELHAM PARKWAY SOUTH BRONX
Address 2: JACOBI MEDICAL CENTER
City: Nyc
State: New York
ZIP Code: 10461
Phone: (718) 918-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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