Cabezas Bolanos, Fausto Ricardo

Cabezas Bolanos, Fausto Ricardo is an individual health care provider with primary practice located at 450 Clarkson Ave , Brooklyn NY 11203-2012. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Cabezas Bolanos, Fausto Ricardo can be contacted via phone (718) 270-2848.

Contact Information

Primary practice address
450 Clarkson Ave Brooklyn NY 11203-2012
Phone: (718) 270-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 318069-01 New York

Profile Details

NPI number 1366094088
LBN Legal business name Cabezas Bolanos, Fausto Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2019
Last updated Apr 18th, 2024 - about 2 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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