De La Cruz, Moraima A
De La Cruz, Moraima A is an individual health care provider with primary practice located at 8910 35Th Ave , Jackson Heights NY 11372-5758. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. De La Cruz, Moraima A can be contacted via phone (718) 426-3705.Contact Information
Primary practice address
8910 35Th Ave
Jackson Heights NY 11372-5758
Phone: (718) 426-3705
Fax: (718) 426-3836
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 045647-1 | New York |
Profile Details
NPI number | 1023007473 |
---|---|
LBN Legal business name | De La Cruz, Moraima A |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2005 |
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 | 1023007473 | NPPES |
New York | MEDICAID | 01538898 |
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