Individual
DR. JENNIFER EMILIE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
622 W 168TH ST, VC4, NEW YORK, NY 10032-3720
(212) 305-5255
(212) 305-7400
Mailing address
622 W 168TH ST, VC4, NEW YORK, NY 10032-3720
(212) 305-5255
(212) 305-7400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019146
NY
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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