Individual
MR. CARLOS ERNESTO DE CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07246555
—
NY
Enumeration date
09/10/2018
Last updated
10/07/2022
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