Individual
CLIS CABANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 WATER ST, WHITE PLAINS, NY 10601-1401
(516) 666-2720
Mailing address
12 WATER ST, WHITE PLAINS, NY 10601-1401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
344061
NY
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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