Provider Demographics
NPI:1225296106
Name:CAMBRONERO, NEIL (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:CAMBRONERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E 96TH ST
Mailing Address - Street 2:APARTMENT 15 G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3839
Mailing Address - Country:US
Mailing Address - Phone:917-806-0741
Mailing Address - Fax:
Practice Address - Street 1:306 E 96TH ST
Practice Address - Street 2:APARTMENT 15 G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3839
Practice Address - Country:US
Practice Address - Phone:917-806-0741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245402208600000X
CA108856208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery