Cervantes, Lober
Cervantes, Lober is an sole proprietor health care provider with primary practice located at 10850 62Nd Dr Ste La, Forest Hills NY 11375-8420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cervantes, Lober can be contacted via phone (718) 896-8000.Contact Information
Primary practice address
10850 62Nd Dr Ste La
Forest Hills NY 11375-8420
Phone: (718) 896-8000
Fax: (718) 896-8009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 234737 | New York |
Profile Details
| NPI number | 1962442780 |
|---|---|
| LBN Legal business name | Cervantes, Lober |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jun 21st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962442780 | NPPES |
| New York | MEDICAID | 2646399 |
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