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L&L CERVANTES MEDICAL PC NPI 1518102987


NPI Information

NPI: 1518102987
Provider Name: L&L CERVANTES MEDICAL PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4322 50TH ST
2C
WOODSIDE, NY
ZIP 11377
Phone: (718) 424-9292
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L&L CERVANTES MEDICAL PC is a specialist in Woodside, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. L&L CERVANTES MEDICAL PC NPI is 1518102987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4322 50TH ST
2C
WOODSIDE, NY
ZIP 11377-442
Phone: (718) 424-9292

The provider's authorized official is Lober Cervantes .
The authorized official title is Executive and has the following contact phone number (917) 952-6397.

The enumeration date for this NPI number is 12/12/2008 and was last updated on 2/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist234737NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102646399MEDICAIDNEW YORK
2234737OTHERNEW YORKLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.