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
Phone: (718) 835-1056
Fax: (718) 835-2769
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 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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