Individual
DR. CHARI SAN GABRIEL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01071331A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
297983
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201116080
—
IN
01
—
P01634453
RAILROAD MEDICARE
IN
Enumeration date
08/21/2010
Last updated
08/06/2020
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