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Ceferino Reyes Villa Fuerte JR., MD
General Practice Physician in Corinth, New York
NPI 1811041155

Ceferino Reyes Villa Fuerte JR. is a General Practice Physician based in Cambridge, NY. Ceferino Reyes Villa Fuerte JR. practices in Corinth, NY and has the professional credentials of MD. The NPI Number for Ceferino Reyes Villa Fuerte JR. is 1811041155 and holds a License No. NY105492 (New York).

The current practice location address for Ceferino Reyes Villa Fuerte JR. is 200 Smith Drive, Corinth, NY and can be reached out via phone at 518-654-7680 and via fax at 518-654-7693.

Location: 200 Smith Drive, Corinth, NY, 12816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811041155
Provider Name
Ceferino Reyes Villa Fuerte JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Smith Drive, Corinth, NY, 12816
Phone Number
518-654-7680
Fax Number
518-654-7693
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00358310 05 NY
institution
Provider Business Practice Location Address Details
Address
200 Smith Drive
City
Corinth
State
New York
Zip
12822
Phone Number
518-654-7680
Fax Number
518-654-7693
person
Provider Business Mailing Address Details
Address
200 Smith Drive
City
Corinth
State
New York
Zip
12822
Phone Number
518-654-7680
Fax Number
518-654-7693
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
NY105492 (New York)
Definition
Definition to come...
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