Individual
ILIANA DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2488 GRAND CONCOURSE, BRONX, NY 10458-5203
(718) 584-7204
Mailing address
2488 GRAND CONCOURSE, BRONX, NY 10458-5203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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