Christopher Lee Cabrera

Individual provider Active NPI Case Management Agency · Howard Beach, NY

NPI 1235911330 · NPPES record last updated Oct 16, 2023

Key facts

NPI
1235911330
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
License
251B00000X (NY)
Practice address
8139 156TH Ave
Howard Beach, NY 11414-2321
Phone
(347) 730-3820
NPI assigned
Oct 16, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
251B00000XNYMDCase Management Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 251B00000X NY Yes

Addresses

Primary practice location

8139 156TH Ave
Howard Beach, NY 11414-2321

Mailing address

8139 156TH Ave
Howard Beach, NY 11414-2321

Other providers in Howard Beach, NY

All providers in Howard Beach, NY · Case Management Agency in New York

Sources for this page

Verify at the official NPI Registry.