Individual
LYDIA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SED
Contact information
Practice address
2424 BEECH ST, WANTAGH, NY 11793-4204
(646) 522-9306
Mailing address
2424 BEECH ST, WANTAGH, NY 11793-4204
(646) 522-9306
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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