Organization
866 MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE A CUBANGBANG M.D (PRESIDENT)
(917) 930-9614
Entity
Organization
Contact information
Practice address
866 E TREMONT AVE, BRONX, NY 10460-4201
(347) 515-0123
Mailing address
866 E TREMONT AVE, BRONX, NY 10460-4201
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
234017
NY
207QA0505X
Adult Medicine Physician
217149
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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