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Individual
MR. ELISANDRO DE LA CRUZ
Active
Individual
MR. ELISANDRO DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
083913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802949
ALBERT EINSTEIN COLLEGE OF MEDICINE ID NUMBER
NY
Enumeration date
12/21/2010
Last updated
06/30/2011
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