Individual
MANUEL JOAQUIN PEGUERO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 MARKET ST, YONKERS, NY 10710-7616
(914) 848-8073
Mailing address
73 MARKET ST, YONKERS, NY 10710-7616
(914) 848-8073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
331862
NY
363LF0000X
Family Nurse Practitioner
F343785
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2018
Last updated
08/06/2025
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