Individual
EGDALY CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1847 HARRISON AVE # 3, BRONX, NY 10453-4530
(646) 691-8311
Mailing address
1847 HARRISON AVE # 3, BRONX, NY 10453-4530
(646) 691-8311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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