Individual
AURELIO SOLIVEN CABAONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2810
Mailing address
6209 KENNEDY BLVD E, WEST NEW YORK, NJ 07093-4043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344092
NY
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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