Provider Demographics
NPI:1093481046
Name:CABRERA, ADRIANA D
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:D
Last Name:CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 99TH ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2238
Mailing Address - Country:US
Mailing Address - Phone:347-557-9271
Mailing Address - Fax:
Practice Address - Street 1:3410 108TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-1222
Practice Address - Country:US
Practice Address - Phone:347-287-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program