Individual
DR. EDGAR CRUZ DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 606-3863
Mailing address
7166 PARSONS BLVD APT 2A, FRESH MEADOWS, NY 11365-4506
(407) 866-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
318406
NY
207R00000X
Internal Medicine Physician
Primary
318406-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2019
Last updated
07/25/2024
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