Individual
MARICEL G DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3563 80TH ST APT 4F, JACKSON HEIGHTS, NY 11372-4919
(718) 429-7073
Mailing address
7410 35TH AVE APT 512W, JACKSON HEIGHTS, NY 11372-8194
(347) 207-5128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007707-1
NY
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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