Individual
DR. CECILIA D CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12239 135TH AVE, SOUTH OZONE PARK, NY 11420-3238
(718) 835-1056
(718) 835-2769
Mailing address
12239 135TH AVE, SOUTH OZONE PARK, NY 11420-3238
(718) 835-1056
(718) 835-2769
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
148105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359200
—
NY
01
—
0546931-008
CIGNA HEALTHCARE
NY
01
—
2122776
AETNA HMO
NY
01
—
21E741
EMPIRE BLUE CROSS BLUE SH
NY
01
—
221529
WELLCARE
NY
01
—
4229484
AETNA PPO
NY
01
—
62228520
ATLANTIS HEALTH PLAN
NY
01
—
AA46377A
MDNY
NY
01
—
IC7303
HEALTHNET
NY
01
—
P1065136
OXFORD HEALTH PLAN
NY
Enumeration date
07/31/2006
Last updated
07/08/2007
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