# PLAZA ONE MEDICAL HEALTHCARE PC

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

## Provider details

- **NPI number:** 1932422680
- **Authorized official:** DR. DANTE ACEBO CUBANGBANG M.D. (PRESIDENT- OWNER)
- **Authorized official phone:** (718) 854-8869

## Contact information

- **Practice address:** 835 61ST ST, 2ND FLOOR, BROOKLYN, NY 11220-4312
- **Practice address phone:** (718) 854-8869
- **Practice address fax:** (718) 854-8861
- **Mailing address:** 894 OAKS DR, FRANKLIN SQUARE, NY 11010-1936
- **Mailing address phone:** (516) 270-2755
- **Mailing address fax:** (516) 270-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 234017 | NY | Yes |

## Other

- **Enumeration date:** 03/10/2010
- **Last updated:** 11/15/2013