Individual
MS. CLEOFE SECULAR CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 998-0200
Mailing address
9705 HORACE HARDING EXPY, 14-O, CORONA, NY 11368-4157
(347) 420-9452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635507
NY
251300000X
Local Education Agency (LEA)
Primary
635507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
740802257
FIDELIS CARE
NY
Enumeration date
01/16/2012
Last updated
01/16/2012
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