Cruz, Lourdes Forlales
Cruz, Lourdes Forlales is an sole proprietor health care provider with primary practice located at 71 Kenmore Ave , Amherst NY 14226-3031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Cruz, Lourdes Forlales can be contacted via phone (716) 832-3111.Contact Information
Primary practice address
71 Kenmore Ave
Amherst NY 14226-3031
Phone: (716) 832-3111
Fax: (716) 836-3212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 136118 | New York |
Profile Details
| NPI number | 1922036227 |
|---|---|
| LBN Legal business name | Cruz, Lourdes Forlales |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922036227 | NPPES |
| New York | MEDICAID | 00951822 |
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