| 866 Medical Group | |
|
866 E Tremont Ave Bronx NY 10460-4201 | |
| (347) 515-0123 | |
| Not Available |
| Full Name | 866 Medical Group |
|---|---|
| Speciality | Anesthesiology - Pain Medicine |
| Location | 866 E Tremont Ave, Bronx, New York |
| Authorized Official Name and Position | Dante A Cubangbang (PRESIDENT) |
| Authorized Official Contact | 9179309614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 866 Medical Group 866 E Tremont Ave Bronx NY 10460-4201 Ph: () - | 866 Medical Group 866 E Tremont Ave Bronx NY 10460-4201 Ph: (347) 515-0123 |
| NPI Number | 1013350933 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 04/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013350933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 217149 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 234017 (New York) | Primary |
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