Individual
AMANDA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1305 YORK AVE FL 9, NEW YORK, NY 10021-5663
(212) 746-2363
(646) 962-0118
Mailing address
9 JAMESTOWN CIR, WALLINGFORD, CT 06492-2138
(203) 623-0803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016042
NY
Other
Enumeration date
02/24/2013
Last updated
03/15/2021
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