Individual
NICOLAS DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN, CDN
Contact information
Practice address
199 MOUNT EDEN PKWY, BRONX, NY 10457-7703
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009963
NY
Other
Enumeration date
08/27/2024
Last updated
10/23/2024
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