Individual
FELICIA M CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
84 MAIN ST, HACKENSACK, NJ 07601-7143
(201) 487-4700
Mailing address
58 MOUNT VERNON AVE, BUFFALO, NY 14210-2606
(201) 471-5696
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183385
—
NJ
Enumeration date
07/14/2021
Last updated
07/14/2021
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