De La Cruz, Sofia A.

De La Cruz, Sofia A. is an sole proprietor health care provider with primary practice located at 560 W 175Th St , New York NY 10033-8031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. De La Cruz, Sofia A. can be contacted via phone (212) 927-8873.

Contact Information

Primary practice address
560 W 175Th St New York NY 10033-8031
Fax: (212) 927-8914
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 154771 New York

Profile Details

NPI number 1245398833
LBN Legal business name De La Cruz, Sofia A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1245398833 NPPES
New York MEDICAID 00860944

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