Organization
ALFREDO B. CRUZ, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO BAMBA CRUZ MD (EMPLOYER)
(518) 272-7191
Entity
Organization
Contact information
Practice address
45 2ND ST, TROY, NY 12180-3928
(518) 272-7191
(518) 272-7234
Mailing address
45 2ND ST, TROY, NY 12180-3928
(518) 272-7191
(518) 272-7234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000408110001
BSNENY
NY
05
—
00531535
—
NY
01
—
08287
MVP
NY
01
—
10000414
CDPHP
NY
01
—
79E301
BC
NY
Enumeration date
03/03/2010
Last updated
03/03/2010
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