# UNITED WELLNESS MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1114100773
- **Authorized official:** DR. DANTE ACEBO CUBANGBANG M.D. (PRESIDENT)
- **Authorized official phone:** (718) 461-5900

## Contact information

- **Practice address:** 3910 MAIN ST, SUITE 303, FLUSHING, NY 11354-5403
- **Practice address phone:** (718) 461-5900
- **Practice address fax:** (718) 461-4833
- **Mailing address:** 3910 MAIN ST, SUITE 303, FLUSHING, NY 11354-5403
- **Mailing address phone:** (718) 461-5900
- **Mailing address fax:** (718) 461-4833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 234017 | NY | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 03/31/2010