MEDICARE: ROSARIO CABANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	014268	NY

General Provider Information

NPI Number	:	1558661363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSARIO CABANG

Provider Business Mailing Address
First Line	:	733 NEREID AVE
Second Line	:	2F
City	:	BRONX
State	:	NY
Zip	:	10466-1209
Country	:	US
Telephone Number	:	718-844-4049
Fax Number	:

Provider Business Practice Location Address
First Line	:	733 NEREID AVE
Second Line	:	2F
City	:	BRONX
State	:	NY
Zip	:	10466-1209
Country	:	US
Telephone Number	:	718-844-4049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	10/26/2010

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Directions to “ ROSARIO CABANG ” Practice Location

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