Individual
MR. ANDREW CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
14 MARILYN ST, MANORVILLE, NY 11949-3011
(516) 376-9334
Mailing address
14 MARILYN STREET, MANORVILLE, NY 11949
(516) 376-9334
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010611
NY
Other
Enumeration date
09/27/2006
Last updated
05/26/2010
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