Provider Demographics
NPI:1184696056
Name:GARCIA, MARIA NENA TRINIDAD (MD)
Entity type:Individual
Prefix:
First Name:MARIA NENA
Middle Name:TRINIDAD
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8808 151ST AVE
Mailing Address - Street 2:#5M
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1440
Mailing Address - Country:US
Mailing Address - Phone:718-647-0800
Mailing Address - Fax:718-647-3616
Practice Address - Street 1:1091 SUTTER AVE
Practice Address - Street 2:SUTTER CHILD HEALTH CLINIC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-3605
Practice Address - Country:US
Practice Address - Phone:718-647-0800
Practice Address - Fax:718-647-3616
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144571208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics