Cruz, Madeline

Cruz, Madeline is an sole proprietor health care provider with primary practice located at 3 Hewitt St , Garnerville NY 10923-1409. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Cruz, Madeline can be contacted via phone (845) 786-3830.

Contact Information

Primary practice address
3 Hewitt St Garnerville NY 10923-1409
Phone: (845) 786-3830
Fax: (845) 786-3830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 005347 New York

Profile Details

NPI number 1043390131
LBN Legal business name Cruz, Madeline
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jun 26th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043390131 NPPES
New York Other 2017970 UNITED HEALTHCARE
New York MEDICAID 01742525 UNITED HEALTHCARE

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