De La Cruz Nurse Practitioner In Psychiatry, Pllc | |
5330 Genesee St Bowmansville NY 14026-1035 | |
(716) 300-8323 | |
(716) 322-4499 |
Full Name | De La Cruz Nurse Practitioner In Psychiatry, Pllc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5330 Genesee St, Bowmansville, New York |
Authorized Official Name and Position | Rachelle Camelle De La Cruz (NURSE PRACTITIONER/ OWNER) |
Authorized Official Contact | 7168197561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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De La Cruz Nurse Practitioner In Psychiatry, Pllc 25 Via Pinto Dr Williamsville NY 14221-2756 Ph: (716) 819-7561 | De La Cruz Nurse Practitioner In Psychiatry, Pllc 5330 Genesee St Bowmansville NY 14026-1035 Ph: (716) 300-8323 |
NPI Number | 1063226520 |
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Provider Enumeration Date | 02/05/2025 |
Last Update Date | 02/05/2025 |
Certification Date | 02/05/2025 |
Identifier | Type | State | Issuer |
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1063226520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |