L&l Cervantes Medical PC

NPI #1518102987 in Woodside, New York

Provider Information

NPI Number: 1518102987
Entity Type: Organization
Organization Name: L&l Cervantes Medical PC
Primary Specialty: Specialist
Enumeration Date: Dec 12, 2008
Last Updated: Feb 20, 2009

Practice Location

Address: 4322 50TH ST
Address 2: 2C
City: Woodside
State: New York
ZIP Code: 11377-4442
Phone: (718) 424-9292

Authorized Official

Name: LOBER CERVANTES, M.D
Title: EXECUTIVE
Phone: (917) 952-6397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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