Organization
UNITED STATES COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUIRICO CABREDO DOCTOR (COMMANDER)
(718) 354-4414
Entity
Organization
Contact information
Practice address
215 DRUM RD, STATEN ISLAND, NY 10305-5001
(718) 354-4414
Mailing address
215 DRUM RD, STATEN ISLAND, NY 10305-5001
(718) 354-4414
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
17100000X
NY
Other
Enumeration date
02/24/2007
Last updated
06/18/2008
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