Provider Demographics
NPI:1609195494
Name:GARCIA, ENRIQUE E (MD)
Entity type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DICKEL RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2117
Mailing Address - Country:US
Mailing Address - Phone:914-725-9892
Mailing Address - Fax:203-894-2649
Practice Address - Street 1:1 DICKEL RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2117
Practice Address - Country:US
Practice Address - Phone:917-747-6246
Practice Address - Fax:203-894-2649
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194953207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine