Provider Demographics
NPI:1740263466
Name:DUABAN, MARIA PAZ ALFECHE (MD PC)
Entity type:Individual
Prefix:DR
First Name:MARIA PAZ
Middle Name:ALFECHE
Last Name:DUABAN
Suffix:
Gender:F
Credentials:MD PC
Other - Prefix:DR
Other - First Name:MARIA PAZ
Other - Middle Name:ALFECHE
Other - Last Name:DUABAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:122 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2639
Mailing Address - Country:US
Mailing Address - Phone:718-921-3514
Mailing Address - Fax:718-921-4862
Practice Address - Street 1:7711 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3341
Practice Address - Country:US
Practice Address - Phone:718-921-3514
Practice Address - Fax:718-921-4862
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160568208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00865870Medicaid