Individual
DENNIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2608
(516) 437-4167
Mailing address
PO BOX 27842, NEW YORK, NY 10087-7842
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010758-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00669
MEDICARE GROUP NUMBER
NY
Enumeration date
06/02/2009
Last updated
10/05/2009
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