Individual
DR. ANDRES CRUZ ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 GRAMATAN AVENUE, MT VERNON, NY 10552
(914) 668-9164
(914) 664-2610
Mailing address
625 GRAMATAN AVENUE, MT VERNON, NY 10552
(914) 668-9164
(914) 664-2610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
139555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00599826
—
NY
Enumeration date
04/28/2006
Last updated
07/06/2010
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