Individual
JENNIFER CHARLENE CRUZ-RUSIELEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MARCUS AVE STE 110, NEW HYDE PARK, NY 11042-1113
(516) 622-7485
(516) 622-6046
Mailing address
2800 MARCUS AVE STE 110, NEW HYDE PARK, NY 11042-1113
(516) 622-7485
(516) 622-7485
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
010400
NY
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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