Healthcare Provider Details

I. General information

NPI: 1336264167
Provider Name (Legal Business Name): ANTONIO CAJIGAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 210TH ST CENTRAL BLDG. ROOM 310, DEPARTMENT OF PATHOLOGY
BRONX NY
10467-2490
US

IV. Provider business mailing address

111 E 210TH ST CENTRAL BLDG. ROOM 310, DEPARTMENT OF PATHOLOGY
BRONX NY
10467-2490
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4964
  • Fax: 718-515-5315
Mailing address:
  • Phone: 718-920-4964
  • Fax: 718-515-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number180791
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: