Organization
PRO ACTIVE HEALTH CARE PC MEDICAL
Active
Other names
Pro Active Health Care Internal Medicine PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOCELYN MACASAET CERVANTES M.D. (PRESIDENT)
(516) 502-2308
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, SUITE E240, NEW HYDE PARK, NY 11042-1011
(516) 502-2308
(516) 673-4804
Mailing address
2001 MARCUS AVE, SUITE E240, NEW HYDE PARK, NY 11042-1011
(516) 502-2308
(516) 673-4804
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
182681
NY
Other
Enumeration date
09/03/2008
Last updated
07/15/2010
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