Basic Information
| Provider Information | |||||||||
| NPI: | 1730211442 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CABRINI MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 227 E 19TH ST | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100032602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129793200 | ||||||||
| FaxNumber: | 2129793227 | ||||||||
| Practice Location | |||||||||
| Address1: | 227 E 19TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100032602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2129793200 | ||||||||
| FaxNumber: | 2129793227 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | RABELO | ||||||||
| AuthorizedOfficialFirstName: | JOSE | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL ATTENDING | ||||||||
| AuthorizedOfficialTelephone: | 2129793200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | 152488 | NY | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.