Individual
MRS. SHIRLEY VICTORIA WONG-CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 ROSE DR, EAST MEADOW, NY 11554-1136
(516) 385-3442
(516) 385-3442
Mailing address
101 ROSE DR, EAST MEADOW, NY 11554-1136
(516) 385-3442
(516) 385-3442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
158001
NY
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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