Individual
MR. JOSHUA ANTHONY CANGCUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Mailing address
1631 POWERS AVE, EAST MEADOW, NY 11554-3821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627617
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
115416
NY
Other
Enumeration date
11/05/2016
Last updated
01/06/2017
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