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Individual

DR. CAESAR CRUZ PREPOSI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6820 ROOSEVELT AVE, WOODSIDE, NY 11377-2926
(718) 478-0505
(718) 478-6565
Mailing address
6911 LITTLE NECK PKWY, GLEN OAKS, NY 11004-1027
(718) 343-2887

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00192986
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01452148
NY
Enumeration date
03/24/2006
Last updated
07/08/2007
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