Cardenas, Gustavo A.

Cardenas, Gustavo A. is an sole proprietor health care provider with primary practice located at 74 E Woodside Ave , Patchogue NY 11772-1314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cardenas, Gustavo A. can be contacted via phone (631) 654-1749.

Contact Information

Primary practice address
74 E Woodside Ave Patchogue NY 11772-1314
Phone: (631) 654-1749
Fax: (631) 654-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 112984 New York

Profile Details

NPI number 1578611737
LBN Legal business name Cardenas, Gustavo A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Oct 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578611737 NPPES
New York Other 1000015665 AFFINITY
New York Other 0082356 AFFINITY
New York Other 11-2432871 AFFINITY
New York Other 226752P AFFINITY
New York Other 431247 AFFINITY
New York Other 2375 AFFINITY
New York Other 20502 AFFINITY
New York Other P1233307 AFFINITY

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