Basic Information
| Provider Information | |||||||||
| NPI: | 1013335439 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CRUZ | ||||||||
| FirstName: | NICOLE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 520 EAST 70TH STREET, STARR 341 | ||||||||
| Address2: | WEILL CORNELL INTERNAL MEDICINE ASSOCIATES | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100210000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6469622065 | ||||||||
| FaxNumber: | 2128210758 | ||||||||
| Practice Location | |||||||||
| Address1: | 505 EAST 70TH STREET | ||||||||
| Address2: | WEILL CORNELL INTERNAL MEDICINE ASSOCIATES | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127469663 | ||||||||
| FaxNumber: | 2127463609 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2014 | ||||||||
| LastUpdateDate: | 10/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RH0003X | 288580 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.