Provider Demographics
NPI:1750532164
Name:BARRERAS-CRUZ, TANIA (MD)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:
Last Name:BARRERAS-CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4719
Mailing Address - Country:US
Mailing Address - Phone:845-483-6654
Mailing Address - Fax:
Practice Address - Street 1:9 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4719
Practice Address - Country:US
Practice Address - Phone:845-483-6654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2800382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry