Provider Demographics
NPI:1437575966
Name:PHYSICIANS OF THE FUTURE MEDGROUP PLLC
Entity Type:Organization
Organization Name:PHYSICIANS OF THE FUTURE MEDGROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDIDO
Authorized Official - Middle Name:
Authorized Official - Last Name:NORBERTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-567-4918
Mailing Address - Street 1:2910 EXTERIOR ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-7104
Mailing Address - Country:US
Mailing Address - Phone:212-567-4918
Mailing Address - Fax:
Practice Address - Street 1:2910 EXTERIOR ST FL 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7104
Practice Address - Country:US
Practice Address - Phone:212-567-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty