Individual
CHARLENE CRUZ-ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 716-4400
(718) 228-7471
Mailing address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 716-4400
(718) 228-7471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003807
LICENSE#
NY
Enumeration date
02/09/2006
Last updated
09/07/2010
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