Individual
CRUZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 FLATBUSH AVE, SOUTH BEACH PSYCHIATRIC CENTER, BROOKLYN, NY 11217-1101
(718) 875-1420
(718) 874-5496
Mailing address
25 FLATBUSH AVE, SOUTH BEACH PSYCHIATRIC CENTER, BROOKLYN, NY 11217-1101
(718) 875-1420
(718) 874-5496
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00769306
—
NY
Enumeration date
03/31/2016
Last updated
03/31/2016
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