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Individual

LUIS FELIPE CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 CENTRAL AVE FL 5, FAR ROCKAWAY, NY 11691-4018
(718) 337-3390
(718) 337-3339
Mailing address
16 CORNWELL ST, ROCKVILLE CTR, NY 11570-1903
(516) 431-4051
(718) 615-2943

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
197141
NY
208D00000X
General Practice Physician
197141
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01626851
NY
Enumeration date
05/16/2006
Last updated
01/09/2024
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