Individual
EVIANNA CRUZ HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5903
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
310565
NY
Other
Enumeration date
06/07/2018
Last updated
09/05/2024
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