Provider Demographics
NPI:1588966683
Name:RAMON CABANAS MD PC
Entity type:Organization
Organization Name:RAMON CABANAS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:CABANAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-246-0920
Mailing Address - Street 1:PO BOX 287025
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0010
Mailing Address - Country:US
Mailing Address - Phone:646-246-0920
Mailing Address - Fax:
Practice Address - Street 1:1120 BRIGHTON BEACH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5572
Practice Address - Country:US
Practice Address - Phone:646-246-0920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145376208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty