Adelida Renteria

NPI #1548713738 in Woodside, New York

Provider Information

NPI Number: 1548713738
Entity Type: Individual
Name: Adelida Renteria
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 25, 2016
Last Updated: Jul 25, 2016

Practice Location

Address: 4836 47TH ST APT 5E
City: Woodside
State: New York
ZIP Code: 11377-7232
Phone: (718) 669-0586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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