Individual
ANALICE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 E 19TH ST, BROOKLYN, NY 11235-3519
(347) 708-0777
Mailing address
1841 PARK AVE, NEW YORK, NY 10035-1316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2023
Last updated
09/13/2024
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