Individual
DR. KEITH CRUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MLS
Contact information
Practice address
DEPARTMENT OF PSYCHOLOGY, 441 EAST FORDHAM RD, BRONX, NY 10458
(718) 817-3883
Mailing address
343 E 30TH ST APT 15N, NEW YORK, NY 10016-6439
(504) 905-5729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016973
NY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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