Organization
CAMBRIA HEIGHTS MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN D BARAGUE (OWNER)
(631) 898-3137
Entity
Organization
Contact information
Practice address
21916 LINDEN BLVD, CAMBRIA HTS, NY 11411-1619
(631) 898-3137
Mailing address
21916 LINDEN BLVD, CAMBRIA HTS, NY 11411
(631) 898-3137
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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