MEDICARE: DR. ANGELA MARIA CABA D.O

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	207Q00000X	Family Medicine Physician	248125	NY

General Provider Information

NPI Number	:	1831361740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA MARIA CABA D.O

Provider Business Mailing Address
First Line	:	1345 RXR PLZ FL 13
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11556-1301
Country	:	US
Telephone Number	:	516-453-0435
Fax Number	:	646-846-3283

Provider Business Practice Location Address
First Line	:	457 ATLANTIC AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-2107
Country	:	US
Telephone Number	:	718-530-1144
Fax Number	:	718-717-8262

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

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	07/03/2023

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