Individual
AIDEEN KWAN DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1528 CROSBY AVE, BRONX, NY 10461-5559
(917) 957-3344
(718) 794-5117
Mailing address
1528 CROSBY AVE, BRONX, NY 10461-5559
(917) 957-3344
(718) 794-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026520
NY
2251P0200X
Pediatric Physical Therapist
026520
NY
2251S0007X
Sports Physical Therapist
026520
NY
2251X0800X
Orthopedic Physical Therapist
026520
NY
Other
Enumeration date
05/24/2006
Last updated
03/29/2012
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