Individual
MRS. BERTA ARACELY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 RADBURN DR, FARMINGVILLE, NY 11738-1045
(631) 960-5772
Mailing address
41 RADBURN DR, FARMINGVILLE, NY 11738-1045
(631) 960-5772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
642355
NY
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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