Cervantes, Cecilia D

Cervantes, Cecilia D is an sole proprietor health care provider with primary practice located at 12239 135Th Ave , South Ozone Park NY 11420-3238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Cervantes, Cecilia D can be contacted via phone (718) 835-1056.

Contact Information

Primary practice address
12239 135Th Ave South Ozone Park NY 11420-3238
Fax: (718) 835-2769
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 148105 New York

Profile Details

NPI number 1316953581
LBN Legal business name Cervantes, Cecilia D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1316953581 NPPES
New York Other 0546931-008 CIGNA HEALTHCARE
New York Other 221529 CIGNA HEALTHCARE
New York MEDICAID 01359200 CIGNA HEALTHCARE
New York Other 62228520 CIGNA HEALTHCARE
New York Other 2122776 CIGNA HEALTHCARE
New York Other IC7303 CIGNA HEALTHCARE
New York Other 21E741 CIGNA HEALTHCARE
New York Other 4229484 CIGNA HEALTHCARE
New York Other AA46377A CIGNA HEALTHCARE
New York Other P1065136 CIGNA HEALTHCARE

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