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:
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Health care specialties

SpecialtyCodeLicense #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 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 1023007473 NPPES
New York MEDICAID 01538898

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