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Organization
L&L CERVANTES MEDICAL PC
Active
Organization
L&L CERVANTES MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOBER CERVANTES M.D (EXECUTIVE)
(917) 952-6397
Entity
Organization
Contact information
Practice address
4322 50TH ST, 2C, WOODSIDE, NY 11377-4442
(718) 424-9292
Mailing address
7558 113TH ST, SUITE 1A, FOREST HILLS, NY 11375-7427
(917) 952-6397
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
234737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646399
—
NY
01
—
234737
LICENSE
NY
Enumeration date
12/12/2008
Last updated
02/20/2009
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