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Individual

DR. MARGARET ROSE DE CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, LMT

Contact information

Practice address
400A PROSPECT AVE, BROOKLYN, NY 11215-5609
(718) 499-7258
Mailing address
400A PROSPECT AVE, BROOKLYN, NY 11215-5609
(718) 499-7258

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003651-1
NY
111NR0400X
Rehabilitation Chiropractor
Primary
X005167
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020413
GHI
NY
Enumeration date
08/05/2007
Last updated
08/05/2007
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