IMELDA CRUZ-BANTING, MD, PC
Ambulatory Health at Van Guilder Ave, New Rochelle, NY

License number
New York 212537
Category
Ambulatory Health
Type
Clinic/Center
License number
New York 212537
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. IMELDA MANGAHAS CRUZ-BANTING
Title: OWNER
Phone: (914) 779-3710
Address
Address 2
108 Van Guilder Ave, New Rochelle, NY 10801
12 Apple Ct, Yonkers, NY 10709
National Provider ID: 1467642140
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IMELDA CRUZ-BANTING, MD, PC

12 Apple Ct, Eastchester, NY 10709

Registration:
Jun 24, 2002
State ID:
2782101
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Imelda Cruz-Banting Md, 12 Apple Ct, Eastchester, NY 10709 (Physical)
Agent:
Frank F. Rocco,670 White Pln Rd STE .214, Scarsdale, NY 10583 (Physical)

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