Individual
DR. MATT CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2875 BROADWAY, NEW YORK, NY 10025-7846
(256) 443-2394
Mailing address
2875 BROADWAY, NEW YORK, NY 10025-7846
(256) 443-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33064201
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
07/01/2024
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