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
Phone: (718) 716-4400
Fax: (718) 228-7471
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629041652 | NPPES |
New York | Other | 003807 | LICENSE# |
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