Individual
ANYELINA MARIA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1464 5TH AVE, BAY SHORE, NY 11706-4147
(631) 231-5070
(631) 435-3288
Mailing address
243 E 149TH ST, BRONX, NY 10451-5503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
290742-1
NY
Other
Enumeration date
10/27/2014
Last updated
08/23/2017
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