National Provider Identifier

Jesenia Cruz, MD

Jesenia Cruz, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lockport, NY and a listed phone number of (716) 630-1143.

NPI 1669424446Lockport, NYFamily Medicine Physician

Profile Overview

NPI
1669424446
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 17, 2006
Last Updated
January 08, 2024

Practice Location

  • 6950 S Transit RD
  • Lockport, NY 14094-6333

Phone: (716) 630-1143

Mailing Address

  • 425 Essjay RD
  • Ste 170
  • Williamsville, NY 14221-5782

Specialties

  • Family Medicine Physician (207Q00000X)

Endpoints

  • production@direct.buffalomedicalgroup.com

    Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221

Full Record
NPI
1669424446
Entity Type
Individual
Last Name
Cruz
First Name
Jesenia
Credential
MD
Mailing Street Address
425 Essjay RD
Mailing Address Line 2
Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5782
Mailing Country
US
Mailing Phone
(716) 630-1219
Mailing Fax
(716) 817-1726
Practice Street Address
6950 S Transit RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-6333
Practice Country
US
Practice Phone
(716) 630-1143
Practice Fax
(716) 817-1765
Enumeration Date
May 17, 2006
Last Updated
January 08, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 08, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
11489395 (NY, Caqh), 060720000023 (NY, Fidelis), 175204BF (NY, Preferred Care), P010238304 (NY, Blue Choice), 00027387401 (NY, Univera)