Organization
CAMBRIA HEALTH MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO LAVELANET (OWNER)
(718) 723-4303
Entity
Organization
Contact information
Practice address
11751 220TH ST, CAMBRIA HEIGHTS, NY 11411-1608
(718) 723-4303
Mailing address
8039 159TH ST, JAMAICA, NY 11432-1103
(718) 723-4303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
064175
NY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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