Individual
CRUZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BROADWAY TRLR F3, AMITYVILLE, NY 11701-2108
(631) 848-4729
Mailing address
600 BROADWAY TRLR F3, AMITYVILLE, NY 11701-2108
(631) 848-4729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694925
NY
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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