Individual
EDLIN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 E 58TH ST, 506, NEW YORK, NY 10022-1236
(212) 750-4590
(212) 751-1752
Mailing address
1400 5TH AVE APT 2F, NEW YORK, NY 10026-2585
(212) 750-4590
(212) 751-1752
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025175-1
NY
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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