Cruz, Norman
Cruz, Norman is an individual health care provider with primary practice located at Stony Brook Umc Hsc 18-040, Stony Brook NY 11794-8191. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Cruz, Norman can be contacted via phone (631) 444-7989.Contact Information
Primary practice address
Stony Brook Umc Hsc 18-040
Stony Brook NY 11794-8191
Phone: (631) 444-7989
Fax: (631) 444-6176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 520603 | New York |
Profile Details
| NPI number | 1124071824 |
|---|---|
| LBN Legal business name | Cruz, Norman |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Oct 20th, 2014 - about 12 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 | 1124071824 | NPPES |
| New York | Other | F334419 | FNP LICENSE |
| New York | MEDICAID | 02940114 | FNP LICENSE |
| New York | Other | 520603-1 | FNP LICENSE |
| New York | Other | 2004004483-22 | FNP LICENSE |
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