Cruz, Jesenia

Cruz, Jesenia is an individual health care provider with primary practice located at 6950 S Transit Rd , Lockport NY 14094-6333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cruz, Jesenia can be contacted via phone (716) 630-1143.

Contact Information

Primary practice address
6950 S Transit Rd Lockport NY 14094-6333
Fax: (716) 817-1765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 228571 New York

Profile Details

NPI number 1669424446
LBN Legal business name Cruz, Jesenia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669424446 NPPES
New York Other 11489395 CAQH
New York Other 060720000023 CAQH
New York Other 175204BF CAQH
New York Other P010238304 CAQH
New York Other 00027387401 CAQH

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