# JOSE F. CERVANTES JR. MD PLLC

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

## Provider details

- **NPI number:** 1215084512
- **Authorized official:** DR. JOSE FELIPE CERVANTES JR. MD (OWNER)
- **Authorized official phone:** (718) 835-1056

## Contact information

- **Practice address:** 12239 135TH AVE, SOUTH OZONE PARK, NY 11420-3238
- **Practice address phone:** (718) 835-1056
- **Practice address fax:** (718) 835-2769
- **Mailing address:** 12239 135TH AVE, SOUTH OZONE PARK, NY 11420-3238
- **Mailing address phone:** (718) 835-1056
- **Mailing address fax:** (718) 835-2769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 159085 | NY | — |
| 207RH0003X | Hematology & Oncology Physician | 159085 | NY | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 09/26/2007