Cruz, Philip M

Cruz, Philip M is an individual health care provider with primary practice located at 13303 Jamaica Avenue , Richmond Hill NY 11418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cruz, Philip M can be contacted via phone (718) 657-7093.

Contact Information

Primary practice address
13303 Jamaica Avenue Richmond Hill NY 11418
Fax: (718) 558-5314
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 228599 New York

Profile Details

NPI number 1780642009
LBN Legal business name Cruz, Philip M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 18th, 2013 - about 11 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 1780642009 NPPES
New York MEDICAID 02717357

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