Organization
121 MEDICAL P.C.
Active
Other names
El Socorro MVDS
Organization subpart
No
Provider details
NPI number
Authorized official
JANIL CRUZ (OFFICE MANAGER)
(212) 567-4931
Entity
Organization
Contact information
Practice address
5030 BROADWAY STE 818, NEW YORK, NY 10034-1670
(914) 316-0487
Mailing address
2711 HENRY HUDSON PKWY APT 2A, BRONX, NY 10463-4714
(212) 567-4931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
04/22/2026
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