Individual
MRS. DESSIALIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C, MPA
Contact information
Practice address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013943-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03418926
—
NY
Enumeration date
04/16/2010
Last updated
04/23/2025
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