Individual
JOSHUA DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(443) 604-2423
Mailing address
54 KENILWORTH AVE, STATEN ISLAND, NY 10312-6803
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
676823
NY
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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