Provider Demographics
NPI:1841328911
Name:DELA CRUZ, FILEMON SORILLO JR (MD)
Entity type:Individual
Prefix:
First Name:FILEMON
Middle Name:SORILLO
Last Name:DELA CRUZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:161 FORT WASHINGTON AVE
Mailing Address - Street 2:IP-7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-305-9770
Mailing Address - Fax:212-305-5848
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:IP-7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-305-9770
Practice Address - Fax:212-305-5848
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2455242080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN