Individual
JEENESS CRUZ MACATANGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032
(646) 317-5077
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(646) 317-5077
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308552
NY
Other
Enumeration date
02/06/2018
Last updated
06/05/2018
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