Individual
ANDREW CRUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 MADISON AVE, NEW YORK, NY 10016-6711
(212) 828-7473
Mailing address
3 CRINKLE CT, NORTHPORT, NY 11768-1856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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