Individual
MRS. SANDRA IRIS CRUZ-JUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
27 NORD PARK BLVD, MIDDLE ISLAND, NY 11953-1839
(631) 696-1871
Mailing address
27 NORD PARK BLVD, MIDDLE ISLAND, NY 11953-1839
(631) 696-1871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
14314
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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