Individual
DR. NICOLE STEPHANY DE LEON DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
1132 229TH DR S APT 8G, BRONX, NY 10466-5225
(347) 446-5695
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
341283
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2019
Last updated
07/31/2026
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