Individual
LILIANA MANUELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2156
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
325200
NY
208M00000X
Hospitalist Physician
Primary
325200
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
10/04/2023
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