Individual
LILLIAM GESELL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
380 NASSAU RD, ROOSEVELT, NY 11575-1343
(516) 571-8600
Mailing address
1600 STEWART AVE STE 300, WESTBURY, NY 11590-6611
(516) 396-0187
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028364
NY
Other
Enumeration date
06/06/2019
Last updated
07/10/2019
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