Organization
PLAZA ONE MEDICAL HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTE ACEBO CUBANGBANG M.D. (PRESIDENT- OWNER)
(718) 854-8869
Entity
Organization
Contact information
Practice address
835 61ST ST, 2ND FLOOR, BROOKLYN, NY 11220-4312
(718) 854-8869
(718) 854-8861
Mailing address
894 OAKS DR, FRANKLIN SQUARE, NY 11010-1936
(516) 270-2755
(516) 270-2755
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
234017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02623398
—
NY
Enumeration date
03/10/2010
Last updated
11/15/2013
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