Provider Demographics
NPI:1356473375
Name:C.B.C INC
Entity Type:Organization
Organization Name:C.B.C INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SERBAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COCIOBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-507-5529
Mailing Address - Street 1:5011 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4469
Mailing Address - Country:US
Mailing Address - Phone:718-507-5529
Mailing Address - Fax:
Practice Address - Street 1:5011 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4469
Practice Address - Country:US
Practice Address - Phone:718-507-5529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory