Individual
DR. DANTE ACEBO CUBANGBANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13915 34TH AVE, BASEMENT OFFICE, FLUSHING, NY 11354-3046
(347) 542-3435
(347) 542-3539
Mailing address
894 OAKS DR, FRANKLIN SQUARE, NY 11010-1936
(917) 930-9614
(516) 270-2755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
234017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02623398
—
NY
Enumeration date
07/19/2005
Last updated
01/21/2014
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