Individual
MRS. BECKY A CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
Mailing address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311997
NY
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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