| Cambria Health Medical, P.c. | |
|
11751 220th St Cambria Heights NY 11411-1608 | |
| (718) 723-4303 | |
| Not Available |
| Full Name | Cambria Health Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11751 220th St, Cambria Heights, New York |
| Authorized Official Name and Position | Mario Lavelanet (OWNER) |
| Authorized Official Contact | 7187234303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambria Health Medical, P.c. 8039 159th St Jamaica NY 11432-1103 Ph: (718) 723-4303 | Cambria Health Medical, P.c. 11751 220th St Cambria Heights NY 11411-1608 Ph: (718) 723-4303 |
| NPI Number | 1174912240 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Medicare PECOS PAC ID | 8325367899 |
|---|---|
| Medicare Enrollment ID | O20150505001089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174912240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 064175 (New York) | Primary |
| Provider Name | Mario Lavelanet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972583953 PECOS PAC ID: 4880642826 Enrollment ID: I20050106000677 |
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