Active NPIIndividual providerSole proprietor

Cosman C Mandujano Bejarano

Surgery in Bronx, New York

NPI Number1013399666
Practice location
111 E 210TH St, Bronx, NY 10467-2401
Fax
—
Last updated
December 1, 2023

Cosman Camilo Mandujano Bejarano is a Surgery based in Bronx, NY. Cosman Camilo Mandujano Bejarano practices in Bronx, NY. The NPI Number for Cosman Camilo Mandujano Bejarano is 1013399666 and holds a License No. 312812 (NY). The current practice location address for Cosman Camilo Mandujano Bejarano is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 832-675-0676.

Provider Profile Details

NPI Number
1013399666
Provider Name
Cosman Camilo Mandujano Bejarano
Provider Entity Type
Individual
Gender
Male
Address
111 E 210TH St, Bronx, NY 10467-2401
Phone Number
832-675-0676
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2015
Last Update Date
December 1, 2023
Certification Date
December 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 E 210TH St
Bronx, NY 10467-2401
City
Bronx
Zip
10467-2401
Phone Number
832-675-0676
Bronx, NY 10467Get directions →

Provider Business Mailing Address Details

Address
330 Cedar Street,ynhh, Department Of Surgery
New Haven, CT 06520
City
New Haven
State
CT
Zip
06520
Phone Number
832-675-0676

License Information

License Number
312812
License State
NY
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cosman C Mandujano Bejarano?

The NPI number of Cosman C Mandujano Bejarano is 1013399666. It was assigned on June 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Cosman C Mandujano Bejarano?

Cosman C Mandujano Bejarano is registered under the primary taxonomy Surgery (code 208600000X), licensed in NY under license number 312812.

Where does Cosman C Mandujano Bejarano practice?

The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 832-675-0676 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013399666 directly on the NPPES registry website.

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