| NPI | 1366690307 |
|---|---|
| Doing Business As | PRO ACTIVE HEALTH CARE INTERNAL MEDICINE PC |
| Entity Type | Organization |
| Authorized Contact | JOCELYN MACASAET CERVANTES President 516-502-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 182681) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2010-07-15 |