Individual
JUAN MANUEL CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 UNION TPKE, NEW HYDE PARK, NY 11040-1764
(516) 419-4480
Mailing address
3503 CORPORAL STONE ST, BAYSIDE, NY 11361-1735
(917) 617-7151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013488
NY
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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