| NPI | 1013350933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE A CUBANGBANG President 917-930-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 234017) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 217149) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |