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Contact Information

866 MEDICAL GROUP
866 E TREMONT AVE
BRONX, NY10460-4201
 Phone: 347-515-0123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 866 MEDICAL GROUP

NPI Number 1013350933
LBN Legal business name 866 MEDICAL GROUP
Authorized official DANTE CUBANGBANG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2013
Last updated 04/10/2013 - About 13 years ago
Identifiers
NY License # 217149
NY License # 234017
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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