Individual
ALCEDO A CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 E FORDHAM RD, BRONX, NY 10458-5033
(718) 584-3826
Mailing address
153 PARKSIDE DR, UNION, NJ 07083-5559
(908) 964-2645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131400
—
NY
Enumeration date
01/31/2007
Last updated
02/09/2016
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