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Individual

JOHNNY CRUZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2857 LINDEN BLVD, BROOKLYN, NY 11208-5126
(718) 235-3100
Mailing address
240 E WESTFIELD AVE APT C4, ROSELLE PARK, NJ 07204-2321
(917) 355-7026

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
NY

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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