Cruz, Lourdes Forlales

Cruz, Lourdes Forlales is an sole proprietor health care provider with primary practice located at 71 Kenmore Ave , Amherst NY 14226-3031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Cruz, Lourdes Forlales can be contacted via phone (716) 832-3111.

Contact Information

Primary practice address
71 Kenmore Ave Amherst NY 14226-3031
Phone: (716) 832-3111
Fax: (716) 836-3212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 136118 New York

Profile Details

NPI number 1922036227
LBN Legal business name Cruz, Lourdes Forlales
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1922036227 NPPES
New York MEDICAID 00951822

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