Ignacio-Cruz, Zenaida Reyes
Ignacio-Cruz, Zenaida Reyes is an individual health care provider with primary practice located at 42 Metzner Rd , Lake Ronkonkoma NY 11779-2141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ignacio-Cruz, Zenaida Reyes can be contacted via phone (631) 588-4443.Contact Information
Primary practice address
42 Metzner Rd
Lake Ronkonkoma NY 11779-2141
Phone: (631) 588-4443
Fax: (631) 588-1261
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 153800 | New York |
Profile Details
NPI number | 1972546158 |
---|---|
LBN Legal business name | Ignacio-Cruz, Zenaida Reyes |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
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 | 1972546158 | NPPES |
New York | MEDICAID | 01135446 |
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