Provider Demographics
NPI:1003811365
Name:ESTEVEZ, LUIS M (MD, MPH, MBA)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:M
Last Name:ESTEVEZ
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Gender:M
Credentials:MD, MPH, MBA
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Other - Middle Name:
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Mailing Address - Street 1:3690 WILDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1129
Mailing Address - Country:US
Mailing Address - Phone:914-245-4578
Mailing Address - Fax:877-829-3250
Practice Address - Street 1:3690 WILDWOOD ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1129
Practice Address - Country:US
Practice Address - Phone:914-245-4578
Practice Address - Fax:877-829-3250
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY154457-12083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine