Individual
MS. CHRISTINA DACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 278, MINEOLA, NY 11501-4235
(516) 877-0977
Mailing address
200 OLD COUNTRY RD, SUITE 278, MINEOLA, NY 11501-4235
(516) 877-0977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016138-1
NY
Other
Enumeration date
11/15/2012
Last updated
08/19/2014
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