Healthcare Provider Details

I. General information

NPI: 1639610918
Provider Name (Legal Business Name): FABIOLA ARBELO CRUZ M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LONG WHARF DR
NEW HAVEN CT
06511-5991
US

IV. Provider business mailing address

1 LONG WHARF DR
NEW HAVEN CT
06511-5946
US

V. Phone/Fax

Practice location:
  • Phone: 203-974-5777
  • Fax: 203-974-5790
Mailing address:
  • Phone: 203-974-5777
  • Fax: 203-974-5790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number68748
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number68748
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: