Organization
UNITED WELLNESS MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE ACEBO CUBANGBANG M.D. (PRESIDENT)
(718) 461-5900
Entity
Organization
Contact information
Practice address
3910 MAIN ST, SUITE 303, FLUSHING, NY 11354-5403
(718) 461-5900
(718) 461-4833
Mailing address
3910 MAIN ST, SUITE 303, FLUSHING, NY 11354-5403
(718) 461-5900
(718) 461-4833
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
234017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02623398
—
NY
Enumeration date
12/06/2007
Last updated
03/31/2010
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