Individual
DR. RONALD ALLAN ENRIQUEZ DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7323
(718) 343-3429
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7323
(718) 343-3429
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
263868
NY
208600000X
Surgery Physician
Primary
A114371
CA
208600000X
Surgery Physician
MD432350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EM992Z
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
09/05/2007
Last updated
05/18/2012
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