Organization
CRUZ PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA LIS-CRUZ (OWNER)
(718) 337-3390
Entity
Organization
Contact information
Practice address
1600 CENTRAL AVE 5TH FLOOR, FAR ROCKAWAY, NY 11691-3621
(718) 337-3390
(718) 337-3339
Mailing address
16 CORNWELL ST, ROCKVILLE CENTRE, NY 11570-1903
(917) 826-9930
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
013294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02272719
—
NY
Enumeration date
04/17/2013
Last updated
05/08/2023
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