Organization Name: | LUZ DEL CARMEN CESPEDES MD, PLLC |
NPI Number: | 1093877219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE C CESPEDES (INTERNAL MEDICINE) |
Mailing Address: | 33 Walt Whitman Rd Ste 240 Huntington Station |
State: | NY US |
Postal Code: | 117464297 |
Phone Number: | 6314704720 |
Fax Number: | 6314704721 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 225451 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |