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Organization

FIRST PREMIER CARE MEDICAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANTE ACEBO CUBANGBANG MD (DIRECTOR/ PRESIDENT)
(917) 929-8589
Entity
Organization

Contact information

Practice address
20607 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1709
(917) 929-8589
(516) 270-2755
Mailing address
894 OAKS DR, FRANKLIN SQUARE, NY 11010-1936
(917) 929-8589
(516) 270-2755

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
090193
NY

Other

Enumeration date
07/30/2011
Last updated
07/30/2011
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