Individual
NICOLAS JAMES DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8504
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(301) 752-1492
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
303338
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
05/06/2024
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