| Sofia Violeta De La Cruz, MD | |
|
1783 Route 9 Ste 201, Halfmoon, NY 12065-2466 | |
| (518) 371-9355 | |
| (518) 373-9139 |
| Full Name | Sofia Violeta De La Cruz |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 1783 Route 9 Ste 201, Halfmoon, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982258844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 333177 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ellis Hospital | Schenectady, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ellis Hospital | 5890607410 | 214 |
| Community Care Physicians Pllc | 8022904473 | 349 |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Sofia Violeta De La Cruz, MD 6 Wellness Way Ste 201, Latham, NY 12110-2156 Ph: (518) 782-3700 | Sofia Violeta De La Cruz, MD 1783 Route 9 Ste 201, Halfmoon, NY 12065-2466 Ph: (518) 371-9355 |
Stephen F Kineke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 | |
Ms. Angelina M Miseno-callaghan, RPA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1694 Route 9, Halfmoon, NY 12065 Phone: 518-930-7486 Fax: 518-930-7487 | |
Dr. Jacob M Reider, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1714 Route 9 Ste A, Halfmoon, NY 12065 Phone: 518-900-1115 | |
Miguel Diaz, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9, Suite 204, Halfmoon, NY 12065 Phone: 518-371-9355 Fax: 518-373-9139 | |
Elena Rosenbaum, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1714 Route 9 Ste A, Halfmoon, NY 12065 Phone: 518-900-1115 | |
Dr. Eric Carl Schnakenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9, Suite 204, Halfmoon, NY 12065 Phone: 518-371-9355 Fax: 518-373-9139 | |
Shelley Justa, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 |