Individual
MISS TRINIDAD DELACRUZ AGTARAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
4011 59TH ST, WOODSIDE, NY 11377-4837
(347) 589-3063
(347) 727-4305
Mailing address
4011 59TH ST, WOODSIDE, NY 11377-4837
(347) 589-3063
(347) 727-4305
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
327245
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
340262
NY
Other
Enumeration date
06/19/2009
Last updated
06/07/2022
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