Individual
AURENE DELA CRUZ ALCASABAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 ROSE AVE, PATCHOGUE, NY 11772-2825
(631) 475-7370
(631) 475-7375
Mailing address
45 ROSE AVE, PATCHOGUE, NY 11772-2825
(631) 475-7370
(631) 475-7375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
174029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16437
VYTRA
NY
01
—
CP455
OXFORD
NY
Enumeration date
09/19/2005
Last updated
07/08/2007
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