Individual
BERNARDINO S CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 FOREST AVENEUE, BUFFALO, NY 14213
(718) 221-4500
Mailing address
139 WELLINGWOOD DR, EAST AMHERST, NY 14051-1746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
136662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136662
—
NY
Enumeration date
04/02/2007
Last updated
07/08/2007
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