Provider Demographics
NPI:1457405995
Name:DE LA CADENA, FLOR S (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOR
Middle Name:S
Last Name:DE LA CADENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 BRADY AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1826
Mailing Address - Country:US
Mailing Address - Phone:212-928-5468
Mailing Address - Fax:
Practice Address - Street 1:160 WADSWORTH AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3821
Practice Address - Country:US
Practice Address - Phone:212-928-5468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1369602080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00363093Medicaid