# 866 MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013350933
- **Authorized official:** DR. DANTE A CUBANGBANG M.D (PRESIDENT)
- **Authorized official phone:** (917) 930-9614

## Contact information

- **Practice address:** 866 E TREMONT AVE, BRONX, NY 10460-4201
- **Practice address phone:** (347) 515-0123
- **Mailing address:** 866 E TREMONT AVE, BRONX, NY 10460-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 234017 | NY | Yes |
| 207QA0505X | Adult Medicine Physician | 217149 | NY | — |

## Other

- **Enumeration date:** 04/10/2013
- **Last updated:** 04/10/2013