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Individual

MS. ANNETTE DE LA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 JEROME AVE, BRONX, NY 10467
(718) 881-7600
(718) 654-1465
Mailing address
3600 JEROME AVENUE, BRONX, NY 10467
(718) 881-7600
(718) 654-1465

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
12/01/2014
Last updated
12/01/2014
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