Individual
TEODORICO ARAMBULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14601 45TH AVE, RM 406, FLUSHING, NY 11355
(718) 670-5464
(718) 670-4569
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7797
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
126401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00250844
—
NY
Enumeration date
04/06/2006
Last updated
05/28/2010
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