Individual
MR. CARLOS MANUEL CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7410 35TH AVE, SUITE 107W, JACKSON HEIGHTS, NY 11372-8197
(718) 672-1538
Mailing address
1715 SARATOGA LN, FISHKILL, NY 12524-4952
(914) 261-7816
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
065815
NY
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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