| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063226520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |