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Individual

DR. KRISTINE MICHELLE CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
047528
CT
208600000X
Surgery Physician
Primary
246013
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03241687
NY
Enumeration date
05/20/2008
Last updated
09/21/2010
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