Individual
BENILDA RIVERA DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 55TH ST FL 1, WOODSIDE, NY 11377-4648
(212) 380-6299
Mailing address
4140 55TH ST FL 1, WOODSIDE, NY 11377-4648
(212) 380-6299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
600807
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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