Most Relevant Information
Provider Data
| NPI Number: | 1003210790 |
| Provider Name: | JOSE LUIS CRUZ PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 017921 |
Most Important Dates
| Enumeration Date: | 10/09/2014 |
| Last Updated: | 03/30/2015 |
Provider Practice Location
300 COMMUNITY DR
NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET
NY
110303816
Practice Location Phone/Fax
| Phone: | 5165623683 |
| Fax: | 5165622843 |
Provider Mailing Location
6 LAWN AVE
ONEONTA
NY
138201810
Provider Mailing Phone/Fax
| Phone: | 6074342101 |
| Fax: |