Organization
CADUCEUS MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVELINO S.B. ROSALES M.D (OWNER)
(718) 937-2055
Entity
Organization
Contact information
Practice address
4121 GREENPOINT AVE, SUNNYSIDE, NY 11104-3007
(718) 937-2055
Mailing address
4121 GREENPOINT AVE, SUNNYSIDE, NY 11104-3007
(718) 937-2055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
125730
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00272500
—
NY
Enumeration date
09/04/2007
Last updated
09/04/2007
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