Cruz-Robertson, Charlene

Cruz-Robertson, Charlene is an individual health care provider with primary practice located at 85 W Burnside Ave , Bronx NY 10453-4015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cruz-Robertson, Charlene can be contacted via phone (718) 716-4400.

Contact Information

Primary practice address
85 W Burnside Ave Bronx NY 10453-4015
Fax: (718) 228-7471
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003807 New York

Profile Details

NPI number 1629041652
LBN Legal business name Cruz-Robertson, Charlene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Sep 7th, 2010 - about 14 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 1629041652 NPPES
New York Other 003807 LICENSE#

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