Individual provider · Type 1 NPI

Halsey Cruickshank, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Bronx, NY

NPI number 1841372083 Active

Practice location

1276 Fulton Ave
Bronx, NY 10456-3402

Fax (718) 901-8799

Mailing address

1431 E 108th St, Suite D
Brooklyn, NY 11236-4666

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X003540 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1841372083

Halsey Cruickshank, PHYSICIAN ASSISTANT's National Provider Identifier is 1841372083, issued on Oct 19, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.