Individual
ELIZABETH CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM, PA.
Contact information
Practice address
435 FORT WASHINGTON AVE, SUITE 1H, NEW YORK, NY 10033-3506
(212) 795-3000
(212) 795-3263
Mailing address
6750 THORNTON PL, #5E, FOREST HILLS, NY 11375-4171
(917) 862-8545
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005036
NY
363A00000X
Physician Assistant
001825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01480033
—
NY
Enumeration date
03/28/2007
Last updated
06/07/2012
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